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Two Cases of Intussusception Occurring through the Stoma after Gastric Surgery / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy ; : 183-187, 2004.
Artículo en Coreano | WPRIM | ID: wpr-33701
ABSTRACT
Intussusception is a rare but potentially serious complication of gastric surgery, and 6 cases have been reported in Korea. Diagnosis can be made by endoscopy, upper gastrointestinal series or computed tomography, but it needs a high index of suspicion for diagnosis. Early diagnosis and prompt surgical intervention is mandatory to avoid mortality. We report two cases of intussusception occurring through the stoma after gastric surgery. A 58-year-old woman presented with epigastric pain and vomiting followed by hematemesis, 30 years after gastrojejunostomy for pyloric obstruction caused by duodenal ulcer. Endoscopy showed jejunogastric intussusception and CT scan was compatible with the diagnosis. She was managed by segmental resection and anastomosis of the jejunum. Another 60-year-old man presented with epigastric pain and hematemesis, 7 years after total gastrectomy with a Roux-en-Y anastomosis for advanced gastric cancer. He was diagnosed as having chronic type jejunal intussusception by endoscopy and CT scan, and intussusception was resolved spontaneously.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Complicaciones Posoperatorias / Neoplasias Gástricas / Vómitos / Anastomosis en-Y de Roux / Gastroenterostomía / Derivación Gástrica / Tomografía Computarizada por Rayos X / Hematemesis / Mortalidad / Diagnóstico Precoz Tipo de estudio: Estudio diagnóstico / Estudio pronóstico / Estudio de tamizaje Límite: Femenino / Humanos País/Región como asunto: Asia Idioma: Coreano Revista: Korean Journal of Gastrointestinal Endoscopy Año: 2004 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Complicaciones Posoperatorias / Neoplasias Gástricas / Vómitos / Anastomosis en-Y de Roux / Gastroenterostomía / Derivación Gástrica / Tomografía Computarizada por Rayos X / Hematemesis / Mortalidad / Diagnóstico Precoz Tipo de estudio: Estudio diagnóstico / Estudio pronóstico / Estudio de tamizaje Límite: Femenino / Humanos País/Región como asunto: Asia Idioma: Coreano Revista: Korean Journal of Gastrointestinal Endoscopy Año: 2004 Tipo del documento: Artículo