Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literature

<p>Abstract</p> <p>Background</p> <p>Jejunogastric intussusception (JGI) is a rare but potentially very serious complication of gastrectomy or gastrojejunostomy. To avoid mortality early diagnosis and prompt surgical intervention is mandatory.</p> <p>Case pr...

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Main Authors: Papastratis George, Kourtesas Dimitris, Sougioultzis Stavros, Hatzinikolaou Petros, Hatzopoulos Nikos, Archimandritis Athanasios J, Tzivras Michalis
Format: Article
Language:English
Published: BMC 2001-01-01
Series:BMC Gastroenterology
Online Access:http://www.biomedcentral.com/1471-230X/1/1
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author Papastratis George
Kourtesas Dimitris
Sougioultzis Stavros
Hatzinikolaou Petros
Hatzopoulos Nikos
Archimandritis Athanasios J
Tzivras Michalis
author_facet Papastratis George
Kourtesas Dimitris
Sougioultzis Stavros
Hatzinikolaou Petros
Hatzopoulos Nikos
Archimandritis Athanasios J
Tzivras Michalis
author_sort Papastratis George
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Jejunogastric intussusception (JGI) is a rare but potentially very serious complication of gastrectomy or gastrojejunostomy. To avoid mortality early diagnosis and prompt surgical intervention is mandatory.</p> <p>Case presentation</p> <p>A young man presented with epigastric pain and bilous vomiting followed by hematemesis,10 years after vagotomy and gastrojejunostomy for a bleeding duodenal ulcer. Emergency endoscopy showed JGI and the CT scan of the abdomen was compatible with this diagnosis. At laparotomy a retrograde type II, JGI was confirmed and managed by reduction of JGI without intestinal resection. Postoperative recovery was uneventful.</p> <p>Conclusions</p> <p>JGI is a rare condition and less than 200 cases have been published since its first description in 1914. The clinical picture is almost diagnostic. Endoscopy performed by someone familiar with this rare entity is certainly diagnostic and CT-Scan of the abdomen could also help. There is no medical treatment for acute JGI and the correct treatment is surgical intervention as soon as possible.</p>
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spelling doaj.art-05333345db6249159db66ee6b40bba352022-12-22T03:06:50ZengBMCBMC Gastroenterology1471-230X2001-01-0111110.1186/1471-230X-1-1Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literaturePapastratis GeorgeKourtesas DimitrisSougioultzis StavrosHatzinikolaou PetrosHatzopoulos NikosArchimandritis Athanasios JTzivras Michalis<p>Abstract</p> <p>Background</p> <p>Jejunogastric intussusception (JGI) is a rare but potentially very serious complication of gastrectomy or gastrojejunostomy. To avoid mortality early diagnosis and prompt surgical intervention is mandatory.</p> <p>Case presentation</p> <p>A young man presented with epigastric pain and bilous vomiting followed by hematemesis,10 years after vagotomy and gastrojejunostomy for a bleeding duodenal ulcer. Emergency endoscopy showed JGI and the CT scan of the abdomen was compatible with this diagnosis. At laparotomy a retrograde type II, JGI was confirmed and managed by reduction of JGI without intestinal resection. Postoperative recovery was uneventful.</p> <p>Conclusions</p> <p>JGI is a rare condition and less than 200 cases have been published since its first description in 1914. The clinical picture is almost diagnostic. Endoscopy performed by someone familiar with this rare entity is certainly diagnostic and CT-Scan of the abdomen could also help. There is no medical treatment for acute JGI and the correct treatment is surgical intervention as soon as possible.</p>http://www.biomedcentral.com/1471-230X/1/1
spellingShingle Papastratis George
Kourtesas Dimitris
Sougioultzis Stavros
Hatzinikolaou Petros
Hatzopoulos Nikos
Archimandritis Athanasios J
Tzivras Michalis
Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literature
BMC Gastroenterology
title Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literature
title_full Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literature
title_fullStr Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literature
title_full_unstemmed Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literature
title_short Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literature
title_sort jejunogastric intussusception presented with hematemesis a case presentation and review of the literature
url http://www.biomedcentral.com/1471-230X/1/1
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