Potential Therapeutic Approaches for the Intussusception Through a Side-to-Side Jejunojejunal Anastomosis After Laparoscopic Gastrectomy.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Si-Hak LeeSun-Hwi Hwang

Abstract

We reviewed our experience with the management of intussusception presenting as a complication of laparoscopic gastrectomy (LG) and studied the feasibility of a laparoscopic intervention to treat or prevent this condition. We retrospectively analyzed the data of 12 patients diagnosed with intussusception, following gastrectomy, from 2008 to 2017, including clinical manifestations, incidence, post-LG time-interval before diagnosis, and treatment. Totally, 12/2300 gastrectomy patients (0.52%) developed intussusception. All 12 had undergone laparoscopic distal gastrectomy for gastric cancer (12/1250, 0.96%) and presented with intussusception through a side-to-side jejunojejunal anastomosis. The mean latency period was 423.8 (range: 86 to 1500) days. Four patients underwent emergent laparoscopic reduction of the efferent loop without bowel resection, along with fixation of the reduced jejunum to the afferent loop and the small bowel mesentery, to prevent a recurrence. One patient required open surgery with manual reduction and segmental resection of the gangrenous small bowel portion. All operated patients recovered without any complications. Intussusception resolved spontaneously in the remaining 7/12 patients. We found that a lap...Continue Reading

References

Aug 1, 1997·Annals of Surgery·T Azar, D L Berger
Aug 29, 1998·Journal of Pediatric Surgery·I V PoddoubnyiK A Dedov
Mar 17, 2004·Obesity Surgery·Ninh T NguyenJeffrey Jim
May 4, 2005·Journal of Pediatric Surgery·Kevin F KiaDaniel H Teitelbaum
Dec 6, 2005·Endoscopy·K H KimC S Choi
Jan 12, 2010·Journal of Medical Case Reports·N Sautot-Vial, H Steyaert
May 17, 2011·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·UNKNOWN Japanese Gastric Cancer Association
Jan 8, 2013·World Journal of Gastrointestinal Surgery·Yi-Chung HouPeng-Sheng Lai
Feb 15, 2014·World Journal of Clinical Cases·Raj GopalVikram Kate
Jun 19, 2014·Asian Journal of Surgery·Chao-Man LoiKuo-Hsin Chen
Jul 23, 2016·Annals of Surgical Oncology·Ji-Ho ParkHan-Kwang Yang
Jan 28, 2017·International Journal of Surgery Case Reports·Yash Vaidya, Rajan Vaithianathan
Sep 8, 2017·International Journal of Surgery Case Reports·Samson RavirajendranAkmal Abdul
Apr 2, 2018·International Journal of Surgery Case Reports·Adel Alhaj SalehAmir H Aryaie

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