[Jejunal invagination after antrectomy and gastrostomy in postcaustic esophagogastric stenoses].

The author presents 3 cases of jejunal invagination in a lot of 120 cases of post-caustic oeso-gastric stenoses that were operated. In two of the patients the invagination developed following antrectomy and in one case it occurred after gastrostomy with jejunal intubation. Invagination developed one month after surgery, and between 47 and 60 days from the ingestion of the caustic substance. In all the cases de-invagination was performed, followed by partial pleating of the mesenterium (Ghilda-Phillips). Oesophagitis, erosive gastritis, gastrostomy and prolonged jejunal intubation may explain the increased frequency of this complication (2.4% against 1.6% in patients with resections for ulcers).