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Jejunogastric intussusception. A new diagnostic test
1Department of Surgery, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Archives of Surgery (Chicago, Ill. : 1960)
|October 1, 1987
Summary
Jejunogastric intussusception, a rare gastrojejunal complication, presents acutely or chronically. Disordered motility with reversed peristalsis may cause it, necessitating surgical intervention for efferent loop dismantling.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Jejunogastric intussusception is a rare complication following gastrojejunal reconstruction.
- It presents in acute (surgical emergency) and chronic intermittent forms.
Observation:
- Chronic jejunogastric intussusception is often difficult to diagnose due to mild symptoms.
- It can progress to acute presentation with incarceration of the intussusceptum.
Findings:
- An endoscopic diagnostic maneuver is proposed.
- Disordered motility with reversed peristalsis is a potential causative factor.
Implications:
- Early diagnosis and surgical treatment are crucial for chronic cases.
- Surgical intervention should include dismantling the efferent loop to prevent recurrence and incarceration.