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Laparoscopic diagnosis of retrograde peristalsis and intussusception in Roux‐en‐Y limb after laparoscopic gastrectomy: A case report
Author(s) -
Yoshiyama Shigeyuki,
Toiyama Yuji,
Ichikawa Takashi,
Shimura Tadanobu,
Yasuda Hiromi,
Hiro Junichiro,
Ohi Masaki,
Araki Toshimitsu,
Kusunoki Masato
Publication year - 2019
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12611
Subject(s) - medicine , intussusception (medical disorder) , roux en y anastomosis , anastomosis , surgery , peristalsis , jejunum , gastrectomy , laparoscopy , complication , general surgery , gastric bypass , cancer , weight loss , obesity
The cause of jejunojejunal intussusception, a rare complication after Roux‐en‐Y gastric surgery, remains unclear. Here, we present a case of retrograde jejunojejunal intussusception that occurred after laparoscopic distal gastrectomy with Roux‐en‐Y reconstruction. A 51‐year‐old woman who had undergone laparoscopic distal gastrectomy and Roux‐en‐Y reconstruction for early gastric cancer 6 years previously was admitted to our hospital with abdominal pain. Abdominal CT revealed the “target sign,” and she was diagnosed as having small bowel intussusception. Laparoscopic surgery resulted in a diagnosis of retrograde intussusception of the distal jejunum of the Roux‐en‐Y anastomosis with retrograde peristalsis in the same area. The Roux‐en‐Y anastomosis site and intussuscepted segment were resected laparoscopically. To the best of our knowledge, this is the first report of laparoscopic diagnosis of retrograde peristalsis in the distal jejunum of a Roux‐en‐Y anastomosis. Additionally, relevant published reports concerning this unusual condition are discussed.