| Late Postoperative Anterograde Jejunojejunal Intussusception after Total Gastrectomy with Loop Esophagojejunostomy |
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Byung Moo Ahn, Ju Seok Kim, Young Wook Song, Dae Hyun Tak, Hee Seok Moon, Sun Hyung Kang, Jae Kyu Sung, Hyun Yong Jeong |
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Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea. mhs1357@cnuh.co.kr |
| 전위절제술 이후 후기 합병증으로 발생한 앞방향 장중첩증 1예 |
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안병무, 김주석, 송영욱, 탁대현, 문희석, 강선형, 성재규, 정현용 |
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충남대학교 의학전문대학원 내과학교실 |
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| Abstract |
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Anterograde jejunojejunal intussusception after total gastrectomy is a very rare postoperative complication. We report a 54-year-old man with a history of total gastrectomy, uncut Roux-en-Y gastric bypass, and Braun's jejunojejunal anastomosis. An upper gastrointestinal endoscopy revealed a bulky, reddish mass in the efferent loop with congestion, edema, and mucosal bleeding. An emergency computed tomography showed a target-like multilayered wall thickening in the afferent loop and a lamellar structure arranged in a concentric circle. Surgical exploration revealed an anterograde intussusception of the afferent proximal jejunum adjacent to the jejunojejunostomy site. This is a very uncommon occurrence because most intussusceptions after total gastrectomy are of the retrograde type. Moreover, anterograde jejunojejunal intussusception tends to occur in the early postoperative period. We report a case of late postoperative anterograde jejunojejunal intussusception after total gastrectomy with Braun's jejunojejunal anastomosis in a 54-year-old Korean man and review the related literature. |
| Key Words:
Anterograde; Intussuscpetion; Postoperative; Complications; Roux-en-Y esophagojejunostomy |
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