Endoscopic Diagnosis of Jejuno-Gastric Intussusception

Abstract

Jejunogastric intussusception is a rare complication of gastric surgery that is potentially life threatening if it is not diagnosed early. This condition is a surgical emergency and is most commonly seen after gastro-jejunostomy. The authors report a case of an elderly female patient who presented with hematemesis and abdominal pain. Endoscopic evaluation revealed prolapsed small bowel into the stomach which was subsequently reduced intra-operatively. She had an uneventful post operative stay. This entity is fatal without surgical intervention. Diagnostic modalities like CT scan and endoscopy are key in the management of this entity.

Keywords

• retrograde jejunogastric intususception
• gastric surgery
• gastro-jejunostomy