Hematemesis Caused by Jejunogastric Intussusception

Brynitz, S; Rubinstein, Elisabeth

doi:10.1055/s-2007-1018361

Cited by 29 publications

(18 citation statements)

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“…In patients with chronic JGI, episodes of abdominal discomfort occur that are followed by nausea. They usually occur after food intake and pass spontaneously after a few hours [15]. Our patient with the acute form of JGI did not have classical, clinical triad.…”

Section: Discussionmentioning

confidence: 54%

“…Most often, in 80% of cases, the second type of JGI is present, while two other types appear equally in 10% of cases [14]. Brynitz and associates described four types of JGI, giving precisely their frequency: type 1 -anterograde or intussusception of the afferent loop (5,5%), type 2a -retrograde or intussusception of the efferent loop (70%), type 2b -intussusception of the efferent loop into the efferent loop (6,5%), type 3 -the combined form of types 1 and 2 (10%) and type 4 -intussusception through the jejunojejunal anastomosis created according to Brown (8%) [15]. In our case report, type 2a of JGI was described.…”

Section: Discussionmentioning

confidence: 99%

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Jejunogastric intussusception as complication of gastric surgery

et al. 2011

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AbstractIntussusception in adults is a very rare entity that occurs in only 5% of all intestinal obstructions. Most often, in 66% of cases, intussusception is localized to the small intestine, while jejunogastric intussusception is very rare and occurs in 0,1%. Since the first case of jejunogastric intussusception after gastrojejunostomy was described by Bozzi in 1914, fewer than 200 isolated cases of postoperative intussusception after gastric surgery have been reported.Here we present a case of anterograde jejunogastric intussusception, 15 years after radical subtotal gastrectomy with Billroth II anastomosis in a 71-year-old man.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Jejunogastric intussusception as complication of gastric surgery

et al. 2011

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“…Type 3 is the combination of the first two types and is seen in 6.5% of patients. The last form, Type 4, is the intussusception at the site of Braun's anastomosis and has an 8% incidence [9]. As can be seen in Video 2, the case presented here was identified as Type 4 characterized by chronic retrograde jejunojejunal intussusception at the anastomotic site.…”

Section: Discussionmentioning

confidence: 89%

First Video Case Report of Chronic Retrograde Jejunojejunal Intussusception after Subtotal Gastrectomy with Braun’s Anastomosis

Bayrak¹,

Bektaş²,

Derici³

et al. 2017

Case Reports in Surgery

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Intussusception, which is seen rarely in adults, is defined as the pulling or invagination of a part of the intestine into another segment of the intestine. In this case report we present chronic retrograde jejunojejunal intussusception following gastric surgery with Braun's anastomosis in adult with video presentation. A 66-year-old woman, who had undergone gastric surgery 39 years ago and cholecystectomy 20 years ago, was admitted to our clinic with the complaints about weight loss, abdominal pain, nausea, and vomiting. Upper gastrointestinal endoscopy (UGISE) was applied, and patient was treated with surgery. This case report indicates that intussusception should be considered in the presence of clinical complaints following gastric surgery, as well as importance of endoscopy in diagnosis.

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“…Another classification by Brynitz and Rubinstein (1986)6 classified jejunogastric intussusceptions in greater detail into five types as follows: Type 1: with afferent loop intussusception (5.5%) Type 2a: with efferent loop intussusceptions (70%) Type 2b: with efferent-efferent loop intussusceptions (6.5%) Type 3: a combination of type 1 and type 2 (10%) Type 4: with an intussusception through a Braun's side-to-side jejuno-junal anastomosis (8%) …”

Section: Discussionmentioning

confidence: 99%

Retrograde jejunogastric intussusception with jejunojejunal intussusception (double telescoping)

2013

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A 55-year-old woman presented with features of gastric outlet obstruction not responding to conservative treatment at a peripheral hospital. She had gastric surgery 15 years before. On examination, there was a globular mass palpable in the epigastrium. Ultrasound and endoscopy findings were suggestive of retrograde jejunogastric intussusception. After initial resuscitation, emergency laparotomy was undertaken which revealed a jejunogastric intussusception at the previous retrocolic gastrojejunostomy site. After manual reduction of the intussuscepted loop by gentle traction, another segment of the jejunum was seen to be telescoping within this loop. On reduction, this jejunal loop was seen to measure around 20 cm and the apex of the intussusceptum was found to be gangrenous and perforated. Resection of the involved segment was done followed by a Roux-en-y anastomosis to restore the continuity.

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Hematemesis Caused by Jejunogastric Intussusception

Cited by 29 publications

References 0 publications

Jejunogastric intussusception as complication of gastric surgery

Jejunogastric intussusception as complication of gastric surgery

First Video Case Report of Chronic Retrograde Jejunojejunal Intussusception after Subtotal Gastrectomy with Braun’s Anastomosis

Retrograde jejunogastric intussusception with jejunojejunal intussusception (double telescoping)

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