Jodhpur disease complicated by postoperative intussusception in St. Mary's Hospital Lacor

Abstract

Abstract Jodhpur disease, now known as primary acquired gastric outlet obstruction (GOO) during infancy and childhood is a rare entity with less than 100 cases. Heineke mikulicz pyloroplasty (HMP) is the mainstay of treatment while other methods of treatment such as gastrojejunostomy and pneumatic balloon dilatation of pylorus have also been effective in some patients. No study has been done to compare the efficacy of these interventions in the management of Jodhpur disease and therefore the choice of operation has been surgeon dependent. Herein, we described a 2 years and 11 months old female child managed for Jodhpur disease with retro colic gastrojejunostomy after a failed HMP complicated by postoperative intussusception who recovered uneventfully with a 1500 g weight gain one month later. Conclusion A clear grading system for antropyloric stricture severity in Jodhpur disease is lacking making gastrojejunostomy a more effective surgical approach that can alleviate complications of repeated surgery.