Jejunogastric intussusception associated with jejunojejunal intussusception (double telescoping) occurring 20 years after gastrojejunostomy
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Title
Jejunogastric intussusception associated with jejunojejunal intussusception (double telescoping) occurring 20 years after gastrojejunostomy
Subject
Gastrojejunostomy, Jejunogastric intussusception, Case report
Description
Abstract
Introduction Jejunogastric intussusception (JGI) is a rare but potentially lethal complication following gastrectomy
or gastrojejunostomy surgeries. Diagnosis of this condition can be challenging due to its rarity and non-specific symp-
toms. This article presents a case report of a 60-year-old male with a history of trans mesocolic gastrojejunostomy
who developed acute symptoms of JGI.
Case report The patient presented with acute epigastric pain, vomiting, and hematemesis. Physical examination
and laboratory tests indicated dehydration, tachycardia, and leukocytosis. Computed tomography (CT) revealed intus-
suscepted loops within the stomach. Emergency laparotomy was performed, and the intussusception was manually
reduced without the need for resection. The patient recovered well and was discharged five days post-surgery.
Discussion Retrograde jejunogastric intussusception is a rare complication, often occurring years after gastric
surgery. It can be classified into acute and chronic forms, with the former presenting with intense pain and potential
hematemesis. The condition can arise in different surgical contexts and even spontaneously. The cause of JGI remains
unclear, but factors such as hyperacidity, abnormal motility, and increased intra-abdominal pressure have been impli-
cated. Diagnosis can be made through endoscopy or alternative imaging modalities such as CT. Surgical intervention
is the treatment of choice, with various options available based on intraoperative findings.
Conclusion Retrograde jejunogastric intussusception is challenging to diagnose and treat due to its rarity and lack
of understanding of its causes. Imaging techniques and endoscopy play important roles in diagnosis, while surgery
remains the primary treatment option. Vigilance is necessary among medical professionals to consider JGI in cases
of acute abdominal pain and vomiting following gastric surgery, allowing for prompt diagnosis and intervention
to prevent bowel necrosis. Further research is needed to establish optimal surgical strategies and evaluate recurrence
rates.
Keywords Gastrojejunostomy, Jejunogastric intussusception, Case report
Introduction Jejunogastric intussusception (JGI) is a rare but potentially lethal complication following gastrectomy
or gastrojejunostomy surgeries. Diagnosis of this condition can be challenging due to its rarity and non-specific symp-
toms. This article presents a case report of a 60-year-old male with a history of trans mesocolic gastrojejunostomy
who developed acute symptoms of JGI.
Case report The patient presented with acute epigastric pain, vomiting, and hematemesis. Physical examination
and laboratory tests indicated dehydration, tachycardia, and leukocytosis. Computed tomography (CT) revealed intus-
suscepted loops within the stomach. Emergency laparotomy was performed, and the intussusception was manually
reduced without the need for resection. The patient recovered well and was discharged five days post-surgery.
Discussion Retrograde jejunogastric intussusception is a rare complication, often occurring years after gastric
surgery. It can be classified into acute and chronic forms, with the former presenting with intense pain and potential
hematemesis. The condition can arise in different surgical contexts and even spontaneously. The cause of JGI remains
unclear, but factors such as hyperacidity, abnormal motility, and increased intra-abdominal pressure have been impli-
cated. Diagnosis can be made through endoscopy or alternative imaging modalities such as CT. Surgical intervention
is the treatment of choice, with various options available based on intraoperative findings.
Conclusion Retrograde jejunogastric intussusception is challenging to diagnose and treat due to its rarity and lack
of understanding of its causes. Imaging techniques and endoscopy play important roles in diagnosis, while surgery
remains the primary treatment option. Vigilance is necessary among medical professionals to consider JGI in cases
of acute abdominal pain and vomiting following gastric surgery, allowing for prompt diagnosis and intervention
to prevent bowel necrosis. Further research is needed to establish optimal surgical strategies and evaluate recurrence
rates.
Keywords Gastrojejunostomy, Jejunogastric intussusception, Case report
Creator
Souhaib Atri1
, Mahdi Hammami1*, Amine Sebai1
, Rany Aifia1
, Meriem Ben Brahim1
, Youssef Chaker1
,
Fadhel Samir Fteriche1 and Montassar Kacem1
, Mahdi Hammami1*, Amine Sebai1
, Rany Aifia1
, Meriem Ben Brahim1
, Youssef Chaker1
,
Fadhel Samir Fteriche1 and Montassar Kacem1
Source
https://doi.org/10.1186/s12245-024-00612-6
Date
2024
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Souhaib Atri1
, Mahdi Hammami1*, Amine Sebai1
, Rany Aifia1
, Meriem Ben Brahim1
, Youssef Chaker1
,
Fadhel Samir Fteriche1 and Montassar Kacem1, “Jejunogastric intussusception associated with jejunojejunal intussusception (double telescoping) occurring 20 years after gastrojejunostomy,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/12308.