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KMID : 0359020110420020094
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 2 p.94 ~ p.97
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A Case of Retrograde Jejunogastric Intussusception Following Subtotal Gastrectomy
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Yoon Ji-Hoon
Kwon Hyuk-Yong
Kim Myoung-Joon
Chon Min-Gu
Ak Seoul-Jung
Park Seung-Keun
Park Hee-Ug
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Abstract
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Retrograde jejunogastric intussusception is a rare complication following Billroth ll gastric surgery. It is a segmental invagination of a jejunal loop into the stomach through stoma. Clinical manifestations are epigastric pain, vomiting with bile or blood, and a palpable mass in the epigastrium. Gastroscopy and a upper GI (UGI) series are very helpful in the diagnosis of this disease. Although the management of this disease is usually surgical, when endoscopic reduction has failed, surgery should be immediately done because of the high mortality. We present here a case of jejunogastric intussusception that was diagnosed by gastroscopy in a patient with a history of Billroth ll surgery that had been done 6 years prior due to gastric cancer.
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KEYWORD
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Intussusception, Gastroscopy, Gastrectomy
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