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A Case Report on Gastric Remnant Intussusception
Chase Lazenby1, Jeffrey A Nielson1, Rebecca S Perry1
1Emergency Medicine, Kettering Health Network, Dayton, USA.
Cureus
|February 21, 2022
Summary
Gastric remnant intussusception, a rare complication after Billroth II surgery, can occur years post-operation. Early esophagogastroduodenoscopy treatment is crucial to prevent ischemic damage.
Area of Science:
- Gastroenterology
- Surgical Complications
- Digestive System Disorders
Background:
- Billroth II gastrojejunostomy is a surgical procedure for obesity and peptic ulcer disease.
- Intussusception, the telescoping of one segment of the intestine into another, is uncommon in adults.
- Post-surgical anatomical changes can predispose patients to rare complications like intussusception.
Observation:
- A case of intussusception involving the gastric remnant is presented.
- The patient had undergone a Billroth II procedure years prior to the onset of symptoms.
- Esophagogastroduodenoscopy was utilized as the treatment modality.
Findings:
- Intussusception of the gastric remnant is a rare but recognized complication following gastric bypass surgeries.
- Billroth II, mini-gastric bypass, and Roux-en-Y gastric bypass are associated with increased frequency of adult intussusception.
- The condition can present years after the initial bariatric or anti-reflux surgery.
Implications:
- Early diagnosis and endoscopic management of gastric remnant intussusception are vital.
- Timely intervention can mitigate the risk of bowel ischemia and necrosis.
- Awareness of this complication is important for clinicians managing patients with a history of gastric surgery.
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