Abstract
Feeding jejunostomy (FJ) is a simple surgical procedure for enteral nutrition. But it can develop complications that may require re-exploration and can be life-threatening. Common complications include mechanical ones such as tube migration or dislocation, infection, gastrointestinal symptoms and fluid and electrolyte imbalances. However, intussusception is a rare complication of FJ. A 54-year-old gentleman underwent a D2 subtotal gastrectomy with Roux-en-Y gastrojejunostomy with FJ. On the sixth postoperative day, he developed severe colicky pain associated with abdominal distension and bilious vomiting. Ultrasonography and computed tomography revealed a 10-cm long jejunojejunal intussusception with the FJ tube at the center of the intussusception with proximal jejunal loops’ distension. The patient was taken up for a re-exploratory laparotomy with manual reduction of the intussusception and a new FJ insertion distal to the previous enterotomy site. The patient had an uneventful postoperative recovery.
Highlights
Feeding jejunostomy (FJ) is a surgical procedure of inserting a tube in the proximal jejunum for enteral feeding
Considered a simple surgical procedure, FJ is often done by trainee surgeons
There are many methods described for FJ such as Stamms, longitudinal Witzel or transverse Witzel, but there are no relevant studies in the literature revealing the differences in complications rates between these techniques
Summary
Feeding jejunostomy (FJ) is a surgical procedure of inserting a tube in the proximal jejunum for enteral feeding. Considered a simple surgical procedure, FJ is often done by trainee surgeons It is not free from complications, and some studies have quoted tube-related complications to be as high as 40%-50% [1]. Upper gastrointestinal endoscopy revealed an ulceroproliferative growth at the antropyloric junction He underwent a D2 subtotal gastrectomy with Roux-en-Y gastrojejunostomy with FJ using the Witzel technique following relevant imaging and other preoperative workups. How to cite this article Dutta S, Gaur N, Reddy A, et al (February 10, 2021) Antegrade Jejunojejunal Intussusception: An Unusual Complication Following Feeding Jejunostomy. A 12-cm long antegrade intussusception in the form of a fleshy sausage-like tubular intestinal mass was found at the proximal jejunum, 20 cm distal to the entry of the jejunostomy tube (Figure 2). Postoperative recovery was uneventful, and the patient was discharged two weeks later
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