Resumo
The autors report a case of jejunal mucosa prolapse after gastroenteroanastomosis, a rare postoperative complication. In the late postcholecistectomy period the patient had persistent vomit. Upper digestive endoscopy (UDE) showed obstruction of the second portion of duodenum, and a gastrojejunal anastomosis was performed. Soon after that, the patient had persistent vomit and upper digestive endoscopy (UDE) showed invagination of the jejunal mucosa. She was reoperated, a Roux Y gastrectomy was performed and the patient had a good evolution. The treatment for this complication is basically surgical, which intends to realieve the obstructive symptomatology.
Jejunogastric intussusseption; Gastroenteroanastomosis complication; Postgastrectomy syndromes
Jejunogastric intussusseption; Gastroenteroanastomosis complication; Postgastrectomy syndromes
RELATOS DE CASOS
Prolapso jejunal em gastroenteroanastomose
Jejunal prolapse in gastroenteroanastomosis
Gerson Junqueira Júnior, TCBC-RSI; Rosilne Jara ReisII; Julio Walter VedovatoIII
ICirurgião do Serviço de Cirurgia Geral do HCPA
IIPreceptor do Serviço de Cirurgia Oncológica do Hospital Santa Rita - Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre
IIIAcadêmico de Medicina da FFFCMPA
Endereço para correspondência Endereço para correspondência: r. Júlio Walter Vedovato Rua dos Andradas, 711/1203-A 90020-003 - Porto Alegre - RS
ABSTRACT
The autors report a case of jejunal mucosa prolapse after gastroenteroanastomosis, a rare postoperative complication. In the late postcholecistectomy period the patient had persistent vomit. Upper digestive endoscopy (UDE) showed obstruction of the second portion of duodenum, and a gastrojejunal anastomosis was performed. Soon after that, the patient had persistent vomit and upper digestive endoscopy (UDE) showed invagination of the jejunal mucosa. She was reoperated, a Roux Y gastrectomy was performed and the patient had a good evolution. The treatment for this complication is basically surgical, which intends to realieve the obstructive symptomatology.
Key words: Jejunogastric intussusseption; Gastroenteroanastomosis complication; Postgastrectomy syndromes.
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Full text available only in PDF format.
Recebido em 25/5/98
Aceito para publicação em 4/2/99
Trabalho realizado no Serviço de Cirurgia Oncológica do Hospital Santa Rita - Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre-RS,
- 1. Guadani S, Pistoia M, Catarci M, et al. Retrograde jejunogastric intussusseption: is endoscopic or surgical management more appropiate? Surg Today 1992;22(3):269-72.
- 2. Kochhar R, Saxena R, Nagi B, et al. Endoscopic management of retrograde jejunogastric intussusseption. Gastrointest Endosc 1988; 34:56-57.
- 3. Waits JO, Beart Jr RW, Charboneau JW, et al. Jejunogastric intussusseption. Arch Surg 1980;115(Dec): 149-52.
- 4. Czeniak A, Bass A, Bat L, et al. Jejunogastric intussusseption. Arch Surg 1987;122:1.190-92.
- 5. Edwards JL, Aubrey DA. Retrograde jejunogastric intussusseption: report of 2 cases. Br J Surg 1977;64: 177-79.
Datas de Publicação
-
Publicação nesta coleção
27 Jan 2010 -
Data do Fascículo
Jun 1999
Histórico
-
Aceito
04 Fev 1999 -
Recebido
25 Maio 1998
