Korean Journal of Gastrointestinal Endoscopy 1999;19(2): 287-294.
내시경으로 진단된 역행성 공장위 중첩증 1 예 (A Case of Retrograde Jejunogastric Intussusception Diagnosed by Endoscopy)
김성준, 이종현, 조종대, 이재욱, 허충, 이진관 (Sung Jun Kim, Jong Hyun Lee, Jong Dae Joe, Jae Wook Lee, Chung Hur and Jin Kwan Lee)
Abstract
Retrograde jejunogastric intussusception defined as a segmental invagination of jejunal loop into stomach through stoma is a rare complication following partial gastric resection. Endoscopy and UGI series is very helpful in the diagnosis of this disease. Although the management of this disease is usually surgical, an endoscopic reduction can alternatively be attempted. If endoscopic reduction was failed, operation should be immediately per-formed in the acute type because of its high mortality. When anatomical reduction is done on due time, the prognosis is fairly good. We report a case of retrograde jejunogastric intussusception with a brief review of the literature. There was a 56 year old male patient who visited the hospital with chief complaints of severe epigastric pain and vomiting. He had subtotal gastrectomy for gastric carcinoma 6 years ago. On emergency endoscopy the type IIa jejunogastric intussusception was found. As the patient was suspected to be incar-cerated, surgical reduction was performed without delay. He was discharged on the 8th admission day. (Korean J Gastrointest Endosc 19: 287 ∼291, 1999)
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