Retrograde Intussusception of the Efferent Limb after a Pancreaticojejunostomy

Whipple, Oliver C.; Stringer, E.F.; Senkowski, Christopher K.; Hartley, Michael
April 2003
American Surgeon;
Case Study
Retrograde intussusception is exceedingly rare and has not been reported after a pancreaticojejunostomy. Recurrent retrograde intussusception has been reported only once before. In adults retrograde intussusception has been associated with gastric resection, gastrojejunostomy, Rouxen-Y gastric bypass, and gastrostomy tube placement. We report a case of retrograde intussusception of the efferent limb into the anastomosis of a revised Roux-en-Y bypass of the pancreas. Two long side-to-side anastomoses with plication were performed to prevent a third episode of intussusception involving this patient's Roux-en-Y.


Related Articles

  • Percutaneous Endoscopic Transgastric Jejunostomy: A New Approach. Melvin, Willie; Fernandez, Joss D. // American Surgeon;Mar2005, Vol. 71 Issue 3, p216 

    A percutaneous transgastric jejunostomy allows long-term simultaneous gastric decompression and jejunal feedings. We have developed a safe and effective bedside technique for placement of a large-bore (22 French) feeding tube while providing gastric drainage with no mortalities and minimal...

  • Bovine pericardium buttress limits recanalization of the uncut roux-en-Y in a porcine model Morton, John M.; Lucktong, Tananchai A.; Trasti, Scott; Farrell, Timothy M. // Journal of Gastrointestinal Surgery;Jan2004, Vol. 8 Issue 1, p127 

    In contrast to the traditional Roux-en-Y reconstruction, an uncut Roux-en-Y provides biliopancreatic diversion and may preserve myoelectric continuity. Previous iterations of the uncut Roux have been plagued by recanalization of the uncut staple line in the afferent small bowel. Our aim was to...

  • Endoscopic identification of the jejunum facilitates minimally invasive jejunostomy tube insertion in selected cases. Selim, Niazy M. // Surgical Endoscopy;Nov2009, Vol. 23 Issue 11, p2587 

    Percutaneous endoscopic gastrostomy (PEG), direct percutaneous endoscopic jejunostomy, and laparoscopic feeding tube insertion are established techniques for placing a feeding tube. However, these techniques may be difficult or contraindicated after previous gastric or upper abdominal surgery. A...

  • Laparoscopic lateral pancreaticojejunostomy. Palanivelu, C.; Shetty, R.; Jani, K.; Rajan, P. S.; Sendhilkumar, K.; Parthasarthi, R.; Malladi, V. // Surgical Endoscopy;Mar2006, Vol. 20 Issue 3, p458 

    Background: Lateral pancreaticojejunostomy is considered as the standard surgery for chronic pancreatitis. Yet there are very few reports of this procedure being done laparoscopically. We present our experience with laparoscopic lateral pancreaticojejunostomy till date and describe our...

  • Laparoscopic hepaticojejunostomy after bile duct injury. Cuendis-Velázquez, Adolfo; Morales-Chávez, Carlos; Aguirre-Olmedo, Itzé; Torres-Ruiz, Fernanda; Rojano-Rodríguez, Martín; Fernández-Álvarez, Luis; Cárdenas-Lailson, Eduardo; Moreno-Portillo, Mucio // Surgical Endoscopy;Mar2016, Vol. 30 Issue 3, p876 

    Background: The incidence of bile duct injuries (BDI) after cholecystectomy, which is a life-threatening condition that has several medical and legal implications, currently stands at about 0.6%. The aim of this study is to describe our experience as the first center to use a...

  • Non-Occlusive Small Bowel Necrosis during Enteral Feeding after Pancreaticoduodenectomy. Thaler, K.; Garreau, J.; Hansen, P. D. // Digestive Surgery;2005, Vol. 22 Issue 5, p375 

    Background: Early enteral tube feeding is widely used after major surgery and trauma. This article is intended to alert surgeons to the possibility of small bowel necrosis following enteral refeeding and to discuss etiology and clinical features. Methods: A case series from a single...

  • Pseudocyst Treatment in Chronic Pancreatitis – Surgical Treatment of the Underlying Disease Increases the Long-Term Success. Schlosser, Wolfgang; Siech, Marco; Beger, Hans G. // Digestive Surgery;2005, Vol. 22 Issue 5, p340 

    Background: For reasons of persisting controversies concerning indications for surgery, we evaluated chronic pancreatitis patients following pancreatic head resection or drainage procedure for pseudocysts located in the pancreatic head. Material and Methods: 206 patients (166 male, 40 female)...

  • jejunostomy.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1248 

    A definition of the term "jejunostomy" which refers to surgical creation of an opening into the jejunum, including definitions of related terms like needle catheter jejunostomy, percutaneous endoscopic jejunostomy and venting jejunostomy, is presented.

  • Effect of different drinks on fluid and electrolyte losses from a jejunostomy. Newton, C. R.; McIntyre, P. B.; Lennard-Jones, J. E.; Gonvers, J. J.; Preston, D. M. // Journal of the Royal Society of Medicine;Jan1985, Vol. 78 Issue 1, p27 

    The effectiveness of 5 different solutions on the absorption of fluid and electrolytes was tested in 7 patients with a proximal intestinal stoma and large fluid losses, all of whom previously needed intravenous infusions to maintain balance. In 4 patients it proved possible to replace the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics