Retrograde jejunogastric intussusception; a rare cause of hematemesis; review of the literature and report of two cases.

Abstract

Retrograde jejunogastric intussusception is a serious complication gastric surgery which, although rare and little known, is easily diagnosed and treated if its possibility is kept in mind, but which has a 100% mortality if misdiagnosed and not treated surgically. Moroney 17 states that of all the causes hematemesis, retrograde intussusception must be amongst the rarest—so rare that it is unlikely ever to be seriously considered. Nevertheless, since there is a strong tendency in modern practice to treat massive upper gastrointestinal bleeding during the first 24 hours in a conservative (nonoperative) manner, which in this case is disastrous, I felt that this condition warranted record. That retrograde intussusception is rare is evidenced by the fact that, from the time the first gastroenterostomy was performed in 1881, not a single case was recorded until Bozzi's report in 1914.* From the reporting the second case in 1917 by Steher