Two Cases of Intussusception Occurring through the Stoma after Gastric Surgery
Sung-Jo Bang, M.D., Do Ha Kim, M.D., Gin Hyug Lee, M.D.*, Jeong-Sik Byeon, M.D.*,
Departments of Internal Medicine, Ulsan University Hospital, *Internal Medicine, †Surgery, and
Abstract
Intussusception is a rare but potentially serious complication of gastric surgery, and 6
cases have been reported in Korea. Diagnosis can be made by endoscopy, upper gastrointestinal
series or computed tomography, but it needs a high index of suspicion for diagnosis. Early
diagnosis and prompt surgical intervention is mandatory to avoid mortality. We report two cases of
intussusception occurring through the stoma after gastric surgery. A 58-year-old woman presented
with epigastric pain and vomiting followed by hematemesis, 30 years after gastrojejunostomy for
pyloric obstruction caused by duodenal ulcer. Endoscopy showed jejunogastric intussusception and
CT scan was compatible with the diagnosis. She was managed by segmental resection and
anastomosis of the jejunum. Another 60-year-old man presented with epigastric pain and
hematemesis, 7 years after total gastrectomy with a Roux-en-Y anastomosis for advanced gastric
cancer. He was diagnosed as having chronic type jejunal intussusception by endoscopy and CT
scan, and intussusception was resolved spontaneously. (Korean J Gastrointest Endosc 2004;28: 183
187)
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