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Intussusception as a complication of partial gastrectomy. A case report
Acta Chirurgica Scandinavica
|January 1, 1978
Summary
Postgastrectomy syndrome can cause unusual complications like intussusception. This case highlights acute retrograde intussusception of the efferent loop after Billroth II anastomosis, emphasizing diagnostic challenges.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Postgastrectomy syndrome encompasses various complications following stomach surgery.
- Intussusception, particularly of the small bowel into the stomach or jejunojejunostomy, is an uncommon but serious complication.
Observation:
- A case of acute retrograde intussusception of the efferent loop into the jejunojejunostomy is presented.
- This occurred 14 months after a partial gastrectomy with Billroth II anastomosis.
Findings:
- Etiologies discussed include functional, mechanical, and stomal function derangements.
- Circulatory derangement is proposed as a potential causal factor in this specific case.
- The classic triad of epigastric pain, vomiting (potentially bloody), and a palpable mass aids diagnosis, though it can be challenging.
Implications:
- Early diagnosis of postgastrectomy intussusception is crucial for patient outcomes.
- Radiography and endoscopy are valuable diagnostic adjuncts.
- Current surgical treatments have limitations in preventing recurrence, necessitating further research into effective management strategies.