Dutta Souradeep, Gaur Naveen Kumar, Reddy Abhinaya, Jain Ankit, Nelamangala Ramakrishnaiah Vishnu Prasad
Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Cureus. 2021 Feb 10;13(2):e13264. doi: 10.7759/cureus.13264.
Feeding jejunostomy (FJ) is a simple surgical procedure for enteral nutrition. But it can develop complications that may require re-exploration and can be life-threatening. Common complications include mechanical ones such as tube migration or dislocation, infection, gastrointestinal symptoms and fluid and electrolyte imbalances. However, intussusception is a rare complication of FJ. A 54-year-old gentleman underwent a D2 subtotal gastrectomy with Roux-en-Y gastrojejunostomy with FJ. On the sixth postoperative day, he developed severe colicky pain associated with abdominal distension and bilious vomiting. Ultrasonography and computed tomography revealed a 10-cm long jejunojejunal intussusception with the FJ tube at the center of the intussusception with proximal jejunal loops' distension. The patient was taken up for a re-exploratory laparotomy with manual reduction of the intussusception and a new FJ insertion distal to the previous enterotomy site. The patient had an uneventful postoperative recovery.
空肠造口喂养（FJ）是一种用于肠内营养的简单外科手术。但它可能会引发一些并发症，这些并发症可能需要再次手术探查，甚至可能危及生命。常见并发症包括机械性并发症，如导管移位或脱开、感染、胃肠道症状以及液体和电解质失衡。然而，肠套叠是FJ的一种罕见并发症。一名54岁男性接受了D2根治性胃大部切除术，并行Roux-en-Y胃空肠吻合术及FJ。术后第六天，他出现了严重的绞痛，伴有腹胀和胆汁性呕吐。超声检查和计算机断层扫描显示，存在一段10厘米长的空肠-空肠套叠，FJ管位于套叠中心，近端空肠袢扩张。该患者接受了再次剖腹探查手术，通过手动复位肠套叠，并在先前肠切开部位的远端插入新的FJ管。患者术后恢复顺利。
