| 위 절제술 후 내시경으로 발견된 역행성 장중첩중 |
| 이혁ㆍ김은옥ㆍ신주영ㆍ오승현ㆍ송홍석ㆍ전은정ㆍ오정환ㆍ정정조ㆍ최상욱ㆍ김성근*ㆍ윤상섭*ㆍ이성* |
| 가톨릭대학교 의과대학 내과학교실, *외과학교실 |
| A Case of Retrograde Jejunogastric Intussusception Diagnosed by Gastroscopy |
| Hyeug Lee, M.D., Eun Ok Kim, M.D., Juyoung Shin, M.D., Seung Hyun Oh, M.D., Hong Seok Song, M.D., Eun Jung Jeon, M.D., Jung Hwan Oh, M.D., Jeong Jo Jeong, M.D., Sang Wook Choi, M.D., Sung Geun Kim, M.D.*, Sang Seob Yun, M.D.* and Seong Lee, M.D.* |
| Departments of Internal Medicine and *Surgery, The Catholic University of KoreaCollege of Medicine, Seoul, Korea |
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| Abstract |
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Retrograde intussusception of the jejunum into the stomach through the stroma of a gastroenterostomy is a very rare, but potentially fatal complication after gastrectomy. Once symptoms develop, the mortality rate is high if this is not treated within 48 hours, so making an early diagnosis with a high index of suspicion and administering prompt treatment are mandatory. Gastroscopy could be a useful diagnostic tool for patients with a history of gastrectomy and who present with abdominal pain and hematemesis, and with considering the possibility of intussusception. A 65-year-old man with a history of Billroth II gastrectomy that was done 35 years ago due to gastric ulcer perforation was admitted with abdominal pain and hematemesis. A necrotic mucosa that was suspicious of an intussuscepted small bowel tissue was detected on gastroscopy. Subsequent open reduction and small bowel resection was performed with successful results. We report here on a case of postoperative retrograde jejunogastric intussusception that occurred 35 years after Billroth II gastrectomy, and it was first diagnosed by performing gastroscopy. (Korean J Gastrointest Endosc 2008;37:112-115) |
| Key Words:
Intussusception, Gastroscopy, Gastrectomy |
| 주요어:
장중첩증, 위내시경검사, 위 절제술 |
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