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Tube feeding associated postoperative intussusceptions: A single center case series study

Liangshuo Hu1, Guozhi Yin, Dong Zhang

  • 1Department of Hepatobiliary Surgery and Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

Medicine
|November 7, 2019
PubMed

Insights

Tube feeding can cause rare postoperative intussusceptions in adults after gastrointestinal surgery. Early surgical intervention is recommended for this acute condition, with no recurrences observed in this study.

Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Abdominal Surgery

Background:

  • Postoperative intussusception is a rare but serious complication following gastrointestinal anastomosis.
  • Tube feeding-associated intussusception in adults is infrequently reported.
  • This study aims to summarize clinical data and discuss etiology and prevention.

Purpose of the Study:

  • To review cases of tube feeding-associated postoperative intussusceptions.
  • To analyze clinical data, including etiology and preventive measures.
  • To highlight the unique characteristics of this complication.

Main Methods:

  • Retrospective review of patients undergoing gastrointestinal anastomosis from May 2013 to January 2018.
  • Analysis of preoperative variables, treatment, and prognosis.
  • Identification of patients with tube feeding-associated postoperative intussusceptions.

Main Results:

  • Seven patients (0.38% prevalence) developed tube feeding-associated postoperative intussusceptions.
  • Intussusceptions occurred acutely between 10–69 days postoperatively (median 25.7 days).
  • All patients required surgery for antegrade efferent limb intussusceptions; no recurrences were noted.

Conclusions:

  • Tube feeding-associated postoperative intussusceptions present uniquely, often acutely in the early postoperative period.
  • Surgical correction is generally recommended.
  • Further research is needed to establish effective preventive measures.
Abstract

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