Retrograde Jejunogastric Intussusception Through a Subtotal Gastrectomy Stoma

McNamara, W. L.

doi:10.1097/00000658-194408000-00007

Cited by 16 publications

(3 citation statements)

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“…According to the cases reported, jejunogastric intussusception can follow every type of gastroenteric anastomosis with the exception of Billroth I type (1,6,7,10,11,16,18). There may be intussusception of the afferent, efferent or both loops (17).…”

Section: Discussionmentioning

confidence: 99%

Chronic Recurrent Jejunogastric Intussusception — Diagnosed by Gastroscopy

Domján¹,

Balas²

1975

Endoscopy

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A further case of endoscopically diagnosed jejunogastric intussusception has been reported. The importance of fiberscopy in diagnosing this rare postoperative complication is emphasized. Authors are convinced that with more frequent use of fiberoptic instruments more cases would be preoperatively diagnosed.Chronische rezidivierende jejunogastrisdie Invagination gastroskopische Diagnose Fallbericht über cine endoskopisch diagnostizierte jejunogastrische Invagination. Die Bedeutung der Gastroskopie bei der Diagnostik dieser seltenen postoperativen Komplikation wird betont. Die Autoren sind davon überzeugt, daB mit zunehmendem Einsatz fiberendoskopischer Instrumente mehr Fälle präoperativ diagnostiziert werden.

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Section: Discussionmentioning

confidence: 99%

Chronic Recurrent Jejunogastric Intussusception — Diagnosed by Gastroscopy

Domján¹,

Balas²

1975

Endoscopy

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“…Since then a number of reports have appeared and intussusception has been described following gastroenterostomy, gastroenterostomy with truncal vagotomy (Irons & Lipin, 1955) or involving the enteroenterostomy stoma from either afferent or efferent limb of a gastroenterostomy without entering the stomach (Jaaskelainen, 1954;Frederick & Sizer, 1965). It has also followed a partial gastrectomy (McNamara, 1944) for benign ulcer and even 8 years after partial gastrectomy for carcinoma (Lavadia, Haynes & De Bakey, 1953) and may involve either limb of a Roux-en-Y anastomosis following total gastrectomy (Davey, 1954;Freeman, Bernatz & Brown, 1966), and has occurred onto a nasogastric tube (Reyelt & Anderson, 1964).…”

Section: Discussionmentioning

confidence: 99%

Intussusception following gastric surgery

Singleton¹

1969

Postgraduate Medical Journal

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“…The first case of jejuno-gastric intussusception to follow partial gastrectomy was reported in I944 (McNamara, 1944) although by that time 50 cases had been reported following gastro-enterostomy (Poliquin,I944). A review of the literature since 1952 reveals that some 30 cases following partial gastrectomy have been reported during the past ten years alone so that retrograde intussusception following partial gastrectomy, although still rare, is no longer a curiosity.…”

Section: Discussionmentioning

confidence: 99%

Acute on Chronic Jejuno-Gastric Intussusception following Partial Gastrectomy

Roxburgh

1964

Postgraduate Medical Journal

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RETROGRADE jejuno-gastric intussusception is an extremely uncommon complication of gastro-jejunal anastomosis and the majority of reports refer to its occurrence after gastro-enterostomy rather than after partial gastrectomy. The following instance occurred in a 73-year-old man who had had a Polya partial gastrectomy I9 years previously. Case ReportIn 1943 Mr. G. A. S. had an antecolic valved Hofmeister partial gastrectomy performed for a high posterior wall gastric ulcer. The operation stood him in good stead for many years but after I 2 years he had an attack of epigastric pain lasting an hour and in the following year he suddenly got another attack after drinking one-and-a-half pints of beer. The pain lasted all night and in the morning he vomited; he thought that the vomit might have contained a little blood. By the time that he reached hospital the pain had begun to ease. On examination there was guarding and rebound tenderness in the epigastrium and bowel sounds were scanty. A plain X-ray of the abdomen failed to reveal any gas under the diaphragm and his symptoms were attributed to peritonism associated with the exacerbation of his chronic bronchitis. He was treated with penicillin and after four days his symptoms had disappeared.Gastroscopy subsequently showed no abnormality.Nineteen years after his gastrectomy (I962) he was again struck down with a severe epigastric pain that came on suddenly whilst he was going for a walk after breakfast. He was able to walk home but the pain, which was unvarying and cramplike, got steadily worse and in the afternoon he was obliged to send for his doctor who thought that he was suffering from a perforated stomal ulcer and arranged for his admission to hospital. When seen at 6.I5 p.m. he was pale and evidently in great pain, but his general condition was good (temperature normal, pulse I io/min., blood pressure 190/70 mm Hg.) and he had not vomited. His abdomen was tendes and rigid in the epigastrium but the lower abdomen was relatively soft. No mass was palpable. Bowel sounds were scanty. Although a perforated stomal ulcer seemed the most probable diagnosis his general appearance did not seem tc be quite right for a patient with a perforated viscus of some ten hours duration, the physical signs were confined to the upper abdomen, and there was no free gas under the diaphragm on radiological examination. Furthermore, there had been no recent historv such as to suggest that he might have a stomal ulcer. As his serum amylase was only 32 units the diagnosis of perforated stomal ulcer was nevertheless allowed to stand and laparotomy was undertaken that evening.Opertation. After opening the abdomen the gastric remnant was picked up so as to be able to feel the stoma and much to our surprise about a foot (30.5 cm.) of afferent jejunum reeled out of the stomach without any assistance beyond the mere lifting up of the latter. The intussuscepted jejunum was perfectly healthy in appearance. There was no stomal ulcer nor any evidence of acute pancreatitis. The afferent loop was ab...

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Retrograde Jejunogastric Intussusception Through a Subtotal Gastrectomy Stoma

Cited by 16 publications

References 0 publications

Chronic Recurrent Jejunogastric Intussusception — Diagnosed by Gastroscopy

Chronic Recurrent Jejunogastric Intussusception — Diagnosed by Gastroscopy

Intussusception following gastric surgery

Acute on Chronic Jejuno-Gastric Intussusception following Partial Gastrectomy

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