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Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

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Retrograde jejuno-jejunal intussusception after total gastrectomy.

Akira Yoneda¹, Yukio Kamohara, Ken Taniguchi

¹Department of Surgery, Nagasaki Municipal Hospital, Nagasaki, Japan.

Case Reports in Gastroenterology

|April 15, 2011

Summary

Intussusception, a rare complication after gastric surgery, can occur years later. Prompt diagnosis and surgical intervention are crucial for patients with acute abdomen following gastrectomy.

Keywords:

Jejuno-jejunal intussusception Post gastrectomy complication Retrograde intussusception

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Area of Science:

Gastroenterology
Surgical Oncology
Abdominal Imaging

Background:

Total gastrectomy is a major surgery for gastric cancer.
Post-gastrectomy complications can manifest years after the procedure.
Intussusception is a rare but serious condition involving bowel telescoping.

Observation:

An 80-year-old female presented with abdominal pain and nausea 14 years post-total gastrectomy.
Imaging revealed small bowel distension and a concentric lamellar mass.
Emergency laparotomy identified retrograde jejuno-jejunal intussusception with ischemic damage.

Findings:

Retrograde jejuno-jejunal intussusception occurred 14 years after gastric cancer surgery.
This complication can happen early or late after total gastrectomy.
Surgical resection was necessary due to severe bowel ischemia.

Implications:

Clinicians must consider intussusception in post-gastrectomy patients with acute abdominal symptoms.
Early diagnosis and surgical management are vital for favorable outcomes.
This case highlights the long-term risks associated with gastric resection.