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Jejunogastric intussusception
Archives of Surgery (Chicago, Ill. : 1960)
|December 1, 1980
Summary
Jejunogastric intussusception is a rare post-gastric surgery complication. Diagnosis is challenging, often requiring surgery, especially for acute cases, though chronic forms may vary in treatment needs.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Jejunogastric intussusception is a rare complication following gastric surgery.
- This condition has been infrequently documented, with only 16 cases reported at the Mayo Clinic over 72 years.
Observation:
- Clinical diagnosis of jejunogastric intussusception is difficult.
- Epigastric pain is a common symptom in affected patients.
- Most patients have undergone retrocolic gastrojejunostomy without gastric resection.
Findings:
- Intussusception of the efferent limb of the jejunum is the most common presentation.
- Acute jejunogastric intussusception generally necessitates surgical intervention.
- Chronic cases may or may not require surgery based on symptom severity.
Implications:
- Spontaneous reduction can complicate intraoperative diagnosis.
- While recurrence is possible, it is rarely documented.
- Early diagnosis and appropriate management are crucial for patient outcomes.