Jejunogastric intussusception is a rare long term complication of Billroth Ⅱ gastrectomy. The case reported here is a 50 year old man with history of a Billroth Ⅱ gastrectomy and Braun's side-to-side jejunojejun...Jejunogastric intussusception is a rare long term complication of Billroth Ⅱ gastrectomy. The case reported here is a 50 year old man with history of a Billroth Ⅱ gastrectomy and Braun's side-to-side jejunojejunal anastomosis who presented with hematemesis. On abdominal examination, there was a mass in the left iliac fossa. Computed tomography scan showed a retrograde jejunogastric intussusception across the gastrojejunostomy. On laparotomy, a retrograde intussusception of the distal jejunum through the jejunojejunal anastomosis and across the gastrojejunostomy with a gangrenous intussusceptum was found. The jejunojejunal anastomosis was taken down, the gangrenous segment was resected and bowel continuity was restored with two jejunojejunal anastomoses, proximal and distal to the gastrojejunostomy. The gastrojejunostomy was preserved. This case brings out an unusual type of retrograde gangrenous intussusception which occurred at two points of a previous anastomosis, i.e., jejunojejunostomy and gastrojejunostomy simultaneously, which could be managed with jejunal resection.展开更多
Introduction Roux-en-Y gastric bypass(RYGB)is currently one of the most commonly performed bariatric and metabolic surgeries worldwide[1].Early postoperative upper gastrointestinal bleeding(UGIB)is a significant compl...Introduction Roux-en-Y gastric bypass(RYGB)is currently one of the most commonly performed bariatric and metabolic surgeries worldwide[1].Early postoperative upper gastrointestinal bleeding(UGIB)is a significant complication following RYGB.According to different reports,the incidence of UGIB after RYGB is 3%[2].The main bleeding site is the gastrointestinal anastomosis,followed by the jejunojejunostomy.展开更多
文摘Jejunogastric intussusception is a rare long term complication of Billroth Ⅱ gastrectomy. The case reported here is a 50 year old man with history of a Billroth Ⅱ gastrectomy and Braun's side-to-side jejunojejunal anastomosis who presented with hematemesis. On abdominal examination, there was a mass in the left iliac fossa. Computed tomography scan showed a retrograde jejunogastric intussusception across the gastrojejunostomy. On laparotomy, a retrograde intussusception of the distal jejunum through the jejunojejunal anastomosis and across the gastrojejunostomy with a gangrenous intussusceptum was found. The jejunojejunal anastomosis was taken down, the gangrenous segment was resected and bowel continuity was restored with two jejunojejunal anastomoses, proximal and distal to the gastrojejunostomy. The gastrojejunostomy was preserved. This case brings out an unusual type of retrograde gangrenous intussusception which occurred at two points of a previous anastomosis, i.e., jejunojejunostomy and gastrojejunostomy simultaneously, which could be managed with jejunal resection.
基金funded by the National Key Technologies R&D Program[grant number 2015BAI13B09]Capital Health Development and Research Key Project[grant number 2020-1-2021].
文摘Introduction Roux-en-Y gastric bypass(RYGB)is currently one of the most commonly performed bariatric and metabolic surgeries worldwide[1].Early postoperative upper gastrointestinal bleeding(UGIB)is a significant complication following RYGB.According to different reports,the incidence of UGIB after RYGB is 3%[2].The main bleeding site is the gastrointestinal anastomosis,followed by the jejunojejunostomy.
