Recognition of intussusception around gastrojejunostomy tubes in children.

Connolly, Bairbre; Chait, Peter; Sivanandan, Ranjiv; Duncan, Donna; Peer, Michael

doi:10.2214/ajr.170.2.9456966

Cited by 30 publications

(26 citation statements)

References 1 publication

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“…If symptoms are present, bile-stained vomiting is the major clinical finding. US appearance is the typical target sign with a central hyperechoic gastrointestinal tube, sometimes with posterior shadowing [81]. Patients are usually stable and surgery is rarely required; intussusception resolves spontaneously or after removing or replacing the gastrointestinal tube with a shorter model.…”

Section: Small-bowel Intussusceptionmentioning

confidence: 99%

Current radiological management of intussusception in children

et al. 2007

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Intussusception is the most common abdominal emergency situation in infants and small children. There has been great progress in diagnostic and therapeutic management of intussusception. Ultrasound (US) has been shown to be the first-choice imaging technique in diagnosing intussusception for reasons of high accuracy, simultaneous exclusion of differential diagnoses, and disclosure of additional pathologies. Controversial opinions exist worldwide concerning the nonoperative treatment of intussusception in infants and children. Pneumatic reduction under fluoroscopic guidance and hydrostatic reduction under US monitoring are the preferred techniques. The aim should be a success rate of at least 90% in idiopathic intussusception. This review summarizes different types of intussusception and outlines diagnostic aspects as well as several treatment concepts.

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Section: Small-bowel Intussusceptionmentioning

confidence: 99%

Current radiological management of intussusception in children

et al. 2007

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“…Usually diagnosis is arrived on the basis of clinical symptoms and sonography or tomographic scans 8. The mechanism of jejunostomy tube-induced intussusceptions is not known.…”

Section: Discussionmentioning

confidence: 99%

“…The mechanism of jejunostomy tube-induced intussusceptions is not known. Couple of theories has been proposed 8 9. It may be due to the tip of the tube acting as a lead point and dragging of the bowel; tube-induced inflammatory reaction causing hypertrophy of the mucosa which forms the lead point; retrograde peristalsis of jejunum due to vomiting and injecting force during feeding using an infusion pump which also acts as a lead point.…”

Section: Discussionmentioning

confidence: 99%

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Jejuno-jejunal intussusception: an unusual complication of feeding jejunostomy

et al. 2013

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The jejuno-jejunal intussusception is a rare complication of jejunostomy tube placement. We are reporting a case of 33-year-old man who was suffering from absolute dysphagia due to carcinoma of cricopharynx with advanced metastatic disease, who underwent Stamms feeding jejunostomy as a part of palliative care. After 1 month he presented with colicky type of pain in the abdomen and vomiting. Sonogram of abdomen revealed a target sign and a feeding tube in a dilated jejunum. Abdominal CT proved the sonographic impression of jejuno-jejunal intussusception. He, therefore, underwent exploratory laparotomy and resection and anastomosis of the intussuscepted bowel. New feeding jejunostomy (FJ) was done distally from the anastomotic site. As per the literature this complication has been reported in Witzels jejunostomy. In our case the patient had undergone Stamms jejunostomy with placement of a Ryle's tube. Intussusception should be considered if a patient comes with abdominal pain and vomiting following FJ.

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“…Although short and long term medical, behavioural and socioemotional complications are well documented, the 'natural history' of tube feeding and factors associated with tube removal have not been examined previously (5,(9)(10)(11)(12)(14)(15)(16)(17)(18)(19)(20)(21)(22). The purpose of the present study was to examine the characteristics and outcomes of infants with G and G-J tubes that were inserted before age three years, to determine the factors that predict removal versus continued dependence on enteral feeding tubes, and to determine those factors that predict early removal of the tubes (less than 12 months after insertion) versus late removal (at least 12 months after tube insertion).…”

Section: Les Caractéristiques Et Les Issues De Nourrissons Stomisés Mmentioning

confidence: 99%