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Jejunogastric intussusceptions

Review of three cases – diagnosis and management

Jejunogastrische Intussuszeption. Bericht von 3 Fällen – Diagnose und Management

  • Case Report
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Zusammenfassung

GRUNDLAGEN: Jejunogastrische Intussuszeption ist selten. Wir fassten 3 Fälle zusammen, die sich während eines Monats bei uns präsentierten. Diese Studie sollte die Rolle der Sonographie in der Diagnostik und im Management (i.e. Wahl des chirurgischen Vorgehens) untersuchen. METHODIK: Fallbericht und Literaturübersicht. ERGEBNISSE: Die Patienten präsentierten sich mit Schmerzen, Bluterbrechen, Oberbauchtumor, Zustand nach Vagotomie und Gastrojejunostomie vor mehr als 10 Jahren wegen Magenulkus. Die Sonographie war in allen Fällen diagnostisch erfolgreich. SCHLUSSFOLGERUNGEN: Die Sonographie ist höchst aussagekräftig und Zeit- und Ressourcen-sparend in der Diagnose der jejunogastrischen Intussuszeption und zum Planen des Vorgehens. Dieses ist die Resektion und Fixation der Anastomose, um ein Wiederauftreten zu verhindern.

Summary

BACKGROUND: Jejunogastric intussusceptions are rare. We reviewed three cases presented to us in a span of one month. This study has been conducted to assess the role of ultrasonography and to determine the type of surgery we should perform in such cases. METHODS: Case report and literature review. RESULTS: The cases presented with the classic triad of pain, hematemesis, and upper abdominal mass, with a history of vagotomy and gastrojejunostomy more than a decade ago for gastric ulcer. Ultrasonography was diagnostic in all. The diagnosis was confirmed on laparotomy. All three cases required resection anastomosis, as the bowels were already gangrenous. One case required revision surgery. CONCLUSIONS: Ultrasonography is diagnostic and can save time and resources for out of hour CT/Endoscopy. Early operation is recommended. Reduction of the intussusceptions, viability assessment and if require resection anastomosis with fixation to prevent recurrence are the standards of care.

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Authors and Affiliations

  1. Department of Surgery, Bankura Sammilani Medical College and Hospital, Gobindonagar, Bankura, West Bengal, India

    N. Panda, M. Gumta, R. Das & M. M. Nandi

  2. Department of Radiodiagnosis, Bankura Sammilani Medical College and Hospital, Gobindonagar, Bankura, West Bengal, India

    M. Karmakar

Authors
  1. N. Panda
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  2. M. Gumta
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  3. M. Karmakar
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  4. R. Das
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  5. M. M. Nandi
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Correspondence to N. Panda.

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Panda, N., Gumta, M., Karmakar, M. et al. Jejunogastric intussusceptions. Eur Surg 42, 190–193 (2010). https://doi.org/10.1007/s10353-010-0545-y

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  • DOI: https://doi.org/10.1007/s10353-010-0545-y

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