A Case of Asymptomatic Intussusception after Total Gastrectomy with Roux-en-Y Reconstruction

DOI Web Site Web Site

Bibliographic Information

Other Title
  • 胃全摘Roux-en-Y再建術後に生じた無症候性腸重積の1例
  • イ ゼンテキRoux-en-Y サイケン ジュツゴ ニ ショウジタ ムショウコウセイ チョウジュウ セキ ノ 1レイ

Search this article

Abstract

<p>The patient was a 66-year-old woman. Total gastrectomy (Roux-en-Y reconstruction) was performed for gastric cancer. A computed tomography (CT) scan performed 1 year and 6 months after the operation incidentally revealed a target sign in the small intestine on the anal side of the Roux-Y limb, and the patient was diagnosed with retrograde intussusception. Two days after the CT imaging, we attempted its endoscopic reduction asymptomatic intussusception. No abnormal findings were found near the jejuno-jejunal anastomosis, and a subsequent CT scan confirmed that the intussusception was kept resolved. A CT scan 10 months after the onset of intussusception showed similar intussusception findings. At this time, the patient was also asymptomatic, and a spontaneous reduction was confirmed by CT, so the patient was followed up. Intussusception after gastrectomy is a rare complication, accounting for about 0.07-2.1% of all complications, but its pathogenesis has not been clarified. Regarding intussusception after gastrectomy, there are few cases treated conservatively, but no cases of asymptomatic intussusception after gastrectomy like the present case have been reported. We report our experience with asymptomatic intussusception after gastrectomy, with a review of the literature.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top