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KMID : 0371320020620060508
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Journal of the Korean Surgical Society
2002 Volume.62 No. 6 p.508 ~ p.511
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Retrograde Jejunogastric Intussusception: A Rare Complication of Gastric Surgery
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Kang Won-Geun
Lee Do-Kyung
Lee Bheong-Uk
Choi Kyung-Hyun
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Abstract
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Retrograde jejunogastric intussusception is a rare complication of gastric surgery. We report a case of retrograde jejunogastric intussusception that developed after a gastric resection. The patient was a 62 years old female patient who
complained
severe epigastric pain, vomiting and hematemesis. She had a gastric resection and Billroth Ⅱ anastomosis performed using the Braun procedure 6 months prior because of early gastric cancer. At the time of admission, the plain abdomen revealed an
ileus
change, but the vital signs and symptoms had worsened. An emergency operation was therefore performed and a strangulated retrograde jejunogastric intussusception of efferent loop was discovered. Surgical management consisted of a segmental
resection of
the jejunum. It is recommended that treatment be done as early as possible in order to prevent a strangulation of the invaginated segment. This case illustrates the rare complications of a type 2b retrograde jejunogastric intussusception that
developed
more than 6 months after a gastric resection and a BillrothⅡ anastomosis using the Braun procedure.
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