Intussusception, Gastroscopy, Gastrectomy"/> A Case of Retrograde Jejunogastric Intussusception Following Subtotal Gastrectomy
Korean J Gastrointest Endosc > Volume 42(2); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(2): 94-97.
위아전절제술 후 발생한 역행성 공장-위 장겹침증 1예
윤지훈ㆍ권혁용ㆍ김명준ㆍ천민구ㆍ악설정ㆍ박승근ㆍ박희욱
메리놀병원 내과
A Case of Retrograde Jejunogastric Intussusception Following Subtotal Gastrectomy
Ji Hoon Yoon, M.D., Hyuk Yong Kwon, M.D., Myoung Joon Kim, M.D., Min Gu Chon, M.D., Seol Jung Ak, M.D., Seung Keun Park, M.D. and Hee Ug Park, M.D.
Department of Internal Medicine, Maryknoll Medical Center, Busan, Korea
Abstract
Retrograde jejunogastric intussusception is a rare complication following Billroth ll gastric surgery. It is a segmental invagination of a jejunal loop into the stomach through stoma. Clinical manifestations are epigastric pain, vomiting with bile or blood, and a palpable mass in the epigastrium. Gastroscopy and a upper GI (UGI) series are very helpful in the diagnosis of this disease. Although the management of this disease is usually surgical, when endoscopic reduction has failed, surgery should be immediately done because of the high mortality. We present here a case of jejunogastric intussusception that was diagnosed by gastroscopy in a patient with a history of Billroth ll surgery that had been done 6 years prior due to gastric cancer. (Korean J Gastrointest Endosc 2011;42:94-97)
Key Words: Intussusception, Gastroscopy, Gastrectomy
주요어: 장겹침증, 상부위장관내시경, 위아전절제술
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