Song Geum Jong, Yun Jong Hyuk, Jung Hae Il, Son Myoung Won, Lee Moon-Soo
Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Korean J Clin Oncol. 2022 Jun;18(1):56-59. doi: 10.14216/kjco.22007. Epub 2022 Jun 30.
Jejunogastric intussusception (JGI) is a rare complication of gastric surgery, with most cases occurring in the form of long-term complications following gastric surgeries. We present a case of JGI in a 74-year-old man who presented with progressive abdominal pain and distention, and was admitted to our hospital. The patient had undergone a totally laparoscopic distal gastrectomy with a Billroth II gastrojejunostomy 9 days previously. Computed tomography and endoscopic findings revealed the presence of a small bowel loop within the gastric lumen, which we failed to reduce in size. We performed an emergency laparoscopic exploration and immediate reduction of the JGI. The efferent and afferent loops were then fixed to the mesentery and the stomach. The postoperative course was uneventful and the patient remained asymptomatic during the 1-year follow-up period.
空肠-胃套叠（JGI）是胃手术的一种罕见并发症，大多数病例以胃手术后的长期并发症形式出现。我们报告一例74岁男性JGI患者，该患者因进行性腹痛和腹胀入院。患者9天前接受了完全腹腔镜下远端胃切除术及毕罗Ⅱ式胃空肠吻合术。计算机断层扫描和内镜检查结果显示胃腔内有一小肠袢，我们未能使其缩小。我们进行了急诊腹腔镜探查并立即复位JGI。然后将输出袢和输入袢固定于肠系膜和胃。术后过程顺利，患者在1年随访期内无症状。
