Retrograde jejunogastric intussusception: Is endoscopic or surgical management more appropriate?

Abstract

Jejunogastric intussusception (JGI) is a rare complication which can develop after partial gastrectomy, gastroenteroanastomosis or enteroanastomosis. Although its management is usually surgical, an endoscopic reduction can alternatively be attempted. We present herein a case of acute JGI in which failure of endoscopic reduction required surgical resection and reconstruction. This is followed by a discussion based on the current available literature.

Retrograde jejunogastric intussusception with jejunojejunal intussusception (double telescoping)

“…Endoscopic reduction of the jejunogastric intussusceptions has been suggested in a few selected cases12; however, this is associated with a significant risk of recurrence 13…”

Jejunogastric intussusception presenting as tumor bleed

“…[1] Stefano et al ., in a similar case, tried endoscopic reduction of the intussuscepting limb but did not succeed. [11] Jain et al . reported four cases of acute type II JGI.…”

Antegrade Jejunojejunal Intussusception After Roux-en-Y Esophagojejunostomy as an Unusual Cause of Postoperative Intestinal Obstruction: Report of a Case

“…Nonoperative, endoscopic management of jejunogastric intussusception has been suggested; however, this is associated with a significant risk of recurrence 15 and surgery is the most common form of treatment. The operation should be conservative, provided that the bowel is viable and strangulation has not occurred.…”