Intussusception after gastric surgery

Endoscopy. 2005 Dec;37(12):1237-43. doi: 10.1055/s-2005-870447.

Abstract

Intussusception following gastric surgery is a rare postoperative complication. It may develop in clinical situations following gastroenterostomy, Billroth II gastric surgery with or without Braun anastomosis, or Roux-en-Y gastrojejunostomy. The patients may present with either an acute surgical emergency or with a chronic, relapsing form. The mortality may be up to 50 % in these cases if not treated appropriately, but little is known about the mechanism underlying the condition. Early diagnosis with a high index of suspicion and prompt treatment of the acute form are therefore important. Surgical reduction with laparotomy is mandatory, although definitive corrective and preventative measures have not yet been established.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Adult
  • Aged
  • Anastomosis, Roux-en-Y / adverse effects
  • Endoscopy, Gastrointestinal
  • Female
  • Follow-Up Studies
  • Gastroenterostomy / adverse effects*
  • Gastroenterostomy / methods
  • Humans
  • Intussusception / diagnosis
  • Intussusception / etiology*
  • Intussusception / surgery*
  • Jejunal Diseases / diagnosis
  • Jejunal Diseases / surgery*
  • Male
  • Middle Aged
  • Postoperative Complications / diagnosis*
  • Postoperative Complications / surgery
  • Reoperation
  • Risk Assessment
  • Severity of Illness Index
  • Stomach Neoplasms / pathology
  • Stomach Neoplasms / surgery*
  • Tomography, X-Ray Computed