Abstract
Journal of Enam Medical College; Vol 3 No 2 July 2013; Page 117-119 DOI: http://dx.doi.org/10.3329/jemc.v3i2.16136
Highlights
It is of two types --- acute fulminating form and chronic recurrent form
In the acute form, incarceration and strangulation of the intussuscepted loop generally occur whilst spontaneous reduction is usual in the chronic type.3,4A high intestinal obstruction, left hypochondriac mass and haematemesis constitute the diagnostic triad of acute fulminant jejuno-gastric intussusception and may have fatal results unless diagnosed early.[5]
Upper GI endoscopy is often diagnostic and may visualise the jejunal segments as they go in and out of the stomach[6], but it is inconvenient for a sick patient
Summary
It is of two types --- acute fulminating form and chronic recurrent form. In the acute form, incarceration and strangulation of the intussuscepted loop generally occur whilst spontaneous reduction is usual in the chronic type.3,4A high intestinal obstruction, left hypochondriac mass and haematemesis constitute the diagnostic triad of acute fulminant jejuno-gastric intussusception and may have fatal results unless diagnosed early.[5]. JGI is a rare life-threatening complication of gastric surgery with an incidence of three in 2000 gastroenterostomies (0.0015%).[1] It may complicate virtually all types of gastric surgery.[1] Since its first description by Bozzi[2] in 1914, around 200 cases have been described.[1,2,3,4,5,6] Three types have been recognised: i) afferent loop intussusception (antegrade, 10%), ii) efferent loop intussusception (retrograde, 76%) and iii) combined (16%).[3] It is of two types --- acute fulminating form and chronic recurrent form.
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