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Prolapso jejunal em gastroenteroanastomose

Jejunal prolapse in gastroenteroanastomosis

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.

Texto completo disponível apenas em PDF.

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.
  • Endereço para correspondência:
    r. Júlio Walter Vedovato
    Rua dos Andradas, 711/1203-A
    90020-003 - Porto Alegre - RS
  • Datas de Publicação

    • Publicação nesta coleção
      27 Jan 2010
    • Data do Fascículo
      Jun 1999

    Histórico

    • Aceito
      04 Fev 1999
    • Recebido
      25 Maio 1998
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