Dholaria Shreyas, Lakhera Kamal Kishor, Patni Sanjeev
Department of Surgical Oncology, Bhagwan Mahaveer Cancer Hospital and Research Centre, Jaipur, Rajasthan India.
Indian J Surg Oncol. 2017 Jun;8(2):188-190. doi: 10.1007/s13193-016-0604-3. Epub 2016 Dec 10.
Feeding jejunostomy (FJ) is a commonly done surgical procedure for enteral nutrition. Intussusception is one of the rare complications of FJ. Clinical presentation may be similar to other causes of small bowel obstruction. Intussusception should be suspected if a patient with jejunostomy tube develops upper gastrointestinal obstructive symptoms, which are relieved by nasogastric tube drainage. CT or ultrasonography (USG) can help to confirm the diagnosis. It can be relieved spontaneously or sometimes requires laparotomy. We have encountered such complication in one patient. The patient developed intestinal obstruction after removal of FJ tube and was diagnosed as having intussusception radiologically. On exploration, intussusception was identified at FJ site for which surgical reduction was done.
空肠造口喂养(FJ)是一种常用的肠内营养手术操作。肠套叠是FJ罕见的并发症之一。其临床表现可能与小肠梗阻的其他病因相似。如果空肠造口管患者出现上消化道梗阻症状,且经鼻胃管引流后症状缓解,则应怀疑肠套叠。CT或超声检查(USG)有助于确诊。肠套叠可自行缓解,有时则需要剖腹手术。我们遇到过一名患有这种并发症的患者。该患者在拔除FJ管后出现肠梗阻,经影像学检查诊断为肠套叠。术中探查发现肠套叠位于FJ部位,并进行了手术复位。