위전절제술 후 발생한 역행성 공장-공장 장중첩중
Retrograde Jejunojejunal Intussusception after Total Gastrectomy
류병윤, 김해성, 김태화, 이정훈, 김한준, 전장용, 김홍기, 김진봉, 최영희,
소속 상세정보
류병윤 ( Ryu Byoung-Yoon )
한림대학교 의과대학 외과학교실
김해성 ( Kim Hae-Sung )
한림대학교 의과대학 외과학교실
김태화 ( Kim Tae-Hwa )
한림대학교 의과대학 외과학교실
이정훈 ( Lee Jeong-Hoon )
한림대학교 의과대학 외과학교실
김한준 ( Kim Han-Joon )
한림대학교 의과대학 외과학교실
전장용 ( Jeon Jang-Yong )
한림대학교 의과대학 외과학교실
김홍기 ( Kim Hong-Ki )
한림대학교 의과대학 외과학교실
김진봉 ( Kim Jin-Bong )
한림대학교 의과대학 내과학교실
최영희 ( Choi Young-Hee )
한림대학교 의과대학 병리학교실
KMID : 0371320040670010082
Abstract
Retrograde jejunojejunal intussusception is an unusual complication of gastric surgery. Mortality rates are quite high, especially if corrective surgery is delayed for more than 48 hours. The common symptoms of retrograde jejunojejunal intussusception are epigastric pain, nausea, vomiting or hematemesis, and palpable mass. UGI series, abdominal sonography, abdominal CT, and endoscopy can be used to diagnose of retrograde jejunojejunal intussusception. We experienced two cases of retrograde jejunojejunal intussusception. One was a sixty-one-year-old male who was admitted because of epigastric pain, nausea and hematemesis. He had previously undergone total gastrectomy with Braun anastomosis due to gastric cancer seven years before. Abdominal CT and endoscopy were performed for diagnosis of intussusception of the upper jejunum. The other case was fifty-nine-year-old male who was admitted because of abdominal pain and vomiting. He also had previously undergone total gastrectomy with Braun anastomosis due to gastric cancer seven years before. On physical examination, the abdomen was flat and the mass was palpated in periumbilical area. UGI series, abdominal CT, and abdominal sonography were performed. Both cases underwent operation by segmental resection of the intussusceptum and the patients discharged without complication. We experienced two cases of unusual retrograde jejunojejunal intussusception and report with a review of the literature.
키워드
역행성 공장-공장 장중첩증; 위절제술; Retrograde jejunojejunal intussusception; Gastrectomy
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