Jejunojejunal intussusception following jejunostomy closure: A case report

Kareem, Tayeb Sabir; Abdi, Mahmoud Ali

doi:10.1016/j.ijscr.2020.10.024

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Carucci et al reported a series of four cases of jejunojejunal intussusception following a jejunostomy feeding tube with distinguishable radiographic findings while the feeding tube was still in place [ 8 ]. However, radiography has its diagnostic limitations as Kareem et al reported a case of adult jejunojejunal intussusception secondary to GJ placement with no distinguishable findings on CT [ 9 ]. The findings in our patient's CT clearly demonstrated a telescope phenomenon surrounding the jejunostomy limb and were amenable to endoscopic reduction.…”

Section: Discussionmentioning

confidence: 99%

Adult Intestinal Intussusception Caused by the Gastrojejunostomy Tube: An Endoscopically Treatable Phenomenon

Zhang

Bansal

et al. 2021

Case Reports in Gastrointestinal Medicine

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Adult duodenoduodenal intussusception is extremely rare due to the retroperitoneal fixation of the second, third, and fourth parts of the duodenum. A majority of clinically significant intussusception with identifiable etiologies is typically neoplastic with more rare causes including retained food and indwelling enteral tubes, specifically with gastrojejunostomy (GJ) tubes. Herein, we discuss the case of a 23-year-old male who developed duodenoduodenal intussusception upon a PEGJ placement with associated gastroduodenal dilation and telescope phenomenon. To the best of our knowledge, there are no reports of intussusception found to be caused by GJ tubes in the adult population. The reported patient was found to have a 4-cm enteroenteric intussusception without obstruction or ischemia with bowel thickening proximal to the pathology. Although adult intussusception cases are typically managed surgically, we were able to reduce the intussusception via endoscopy due to rapid diagnosis upon presentation and intervention before the bowel wall could be compromised.

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Section: Discussionmentioning

confidence: 99%

Adult Intestinal Intussusception Caused by the Gastrojejunostomy Tube: An Endoscopically Treatable Phenomenon

Zhang

Bansal

et al. 2021

Case Reports in Gastrointestinal Medicine

View full text Add to dashboard Cite

show abstract

“…Adults who have intestinal intussusception on a jejunostomy tube experience this extremely uncommon complication very infrequently. It symbolizes a surgical emergency that calls for prompt diagnosis and treatment, which is frequently surgical, as we demonstrate in this instance 2 . In order to provide nutrition to individuals who are unable to take it orally owing to illnesses affecting the stomach, esophagus, pancreas, duodenum, liver, or biliary system, a tube is put in the lumen of the proximal jejunum 3 .…”

Section: Introductionmentioning

confidence: 99%

“…It symbolizes a surgical emergency that calls for prompt diagnosis and treatment, which is frequently surgical, as we demonstrate in this instance. 2 In order to provide nutrition to individuals who are unable to take it orally owing to illnesses affecting the stomach, esophagus, pancreas, duodenum, liver, or biliary system, a tube is put in the lumen of the proximal jejunum. 3 Mechanical, bacterial, gastrointestinal, or metabolic problems have been reported with jejunostomies.…”

Section: Introductionmentioning

confidence: 99%