Korean J Gastrointest Endosc.  2004 Apr;28(4):183-187.

Two Cases of Intussusception Occurring through the Stoma after Gastric Surgery

• Bang SJ
• Kim DH
• Lee GH
• Byeon JS
• Kim SJ
• Kim HJ
• Jung HY
• Myung SJ
• Yang SK
• Hong WS
• Kim JH
• Min YI
• Jung SJ
• Kim AY

Abstract

Intussusception is a rare but potentially serious complication of gastric surgery, and 6 cases have been reported in Korea. Diagnosis can be made by endoscopy, upper gastrointestinal series or computed tomography, but it needs a high index of suspicion for diagnosis. Early diagnosis and prompt surgical intervention is mandatory to avoid mortality. We report two cases of intussusception occurring through the stoma after gastric surgery. A 58-year-old woman presented with epigastric pain and vomiting followed by hematemesis, 30 years after gastrojejunostomy for pyloric obstruction caused by duodenal ulcer. Endoscopy showed jejunogastric intussusception and CT scan was compatible with the diagnosis. She was managed by segmental resection and anastomosis of the jejunum. Another 60-year-old man presented with epigastric pain and hematemesis, 7 years after total gastrectomy with a Roux-en-Y anastomosis for advanced gastric cancer. He was diagnosed as having chronic type jejunal intussusception by endoscopy and CT scan, and intussusception was resolved spontaneously.

Keyword

Intussusception; Gastrectomy; Gastroenterostomy; Postoperative complications

MeSH Terms

Anastomosis, Roux-en-Y
Diagnosis
Duodenal Ulcer
Early Diagnosis
Endoscopy
Female
Gastrectomy
Gastric Bypass
Gastroenterostomy
Hematemesis
Humans
Intussusception*
Jejunum
Korea
Middle Aged
Mortality
Postoperative Complications
Stomach Neoplasms
Tomography, X-Ray Computed
Vomiting