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A Protocol for Roux-en-Y Gastric Bypass in Rats using Linear Staplers
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Jejunogastric intussusception.

M Hasan1, M M Mahamud, S A Khan

  • 1Department of Surgery, Mymensingh Medical College, Mymensingh, Bangladesh.

Mymensingh Medical Journal : MMJ
|July 23, 2009
PubMed
Summary
This summary is machine-generated.

Retrograde jejunogastric intussusception (RJGI) is a rare complication after gastric surgery. Prompt surgical intervention is essential for acute RJGI to prevent mortality.

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Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Retrograde jejunogastric intussusception (RJGI) is a rare complication following gastrectomy or gastrojejunostomy.
  • First described in 1914, RJGI presents clinically as acute or chronic, and anatomically in three types.

Observation:

  • The acute form of RJGI constitutes a surgical emergency due to the risk of strangulation.
  • Typical symptoms include abdominal pain, nausea, vomiting, hematemesis, and an upper abdominal lump.
  • A history of gastric surgery aids diagnosis; X-rays and endoscopy can be diagnostic tools.

Findings:

  • This report details a case of RJGI presenting with acute abdomen, hematemesis, and an abdominal lump.
  • Early diagnosis and prompt surgical intervention are mandatory to avoid mortality in acute RJGI.

Implications:

  • RJGI requires immediate surgical management, as no effective medical treatment exists.
  • Awareness of this rare entity and its diagnostic features is crucial for timely intervention.