INCIDENCE OF JEJUNOGASTRIC INTUSSUSSCEPTION FOLLOWING GASTRIC SURGERY IN OUR HOSPITAL
Journal Title: IJSR-International Journal Of Scientific Research - Year 2018, Vol 8, Issue 3
Abstract
INTRODUCTION: Jejuno gastric intussusception as a complication following gastrectomy occurs at an incidence of 0.1%. It follows several types of gastric surgeries like Billroth 2 and gastro jejunostomy. The mortality of the patient usually conrms to the 10% range but a high mortality of 50% has been reported in cases of delayed diagnosis paired with late intervention. In order to bypass the morbidity of the condition timely surgical invervention is the rule of the day. Though the history of gastric surgery may point towards the diagnosis, preoperative anticipation or the same has proven to be difcult in most of the cases AIMS AND OBJECTIVES: To study the incidence of jejunogastric intussusception following gastric surgery in KAPV medical college Tiruchirappalli during 10 years period from 2006 to 2016.The need for early intervention to prevent mortality and investigations needed to diagnose intussusception. METHODS AND MATERIALS: 50 patients who underwent gastrojejunostomy in KAPV medical college Tiruchirappalli during the period 2006 to 2016 were taken up for study. . Patient demographics, clinical presentation, diagnosis, investigations, operative notes, management and histopathology reports were reviewed and data was collected from case records from medical records department. RESULTS AND OBSERVATIONS: There were 5 cases of JGI. All were males. The mean age at presentation was 54.69 years (range 46-62). All patients presented with hematemesis or coffee ground vomiting. In addition, 3 patients had pain abdomen and 2 patients had malena. . All patients underwent surgical management. Most common type was Type II (efferent loop) seen in 3 patients. Type III (combined type) was seen in 1 patient. One patient had Type I (afferent loop). CONCLUSION: JGI is a rare complication after gastrojejunostomy. Upper gastrointestinal endoscopy is diagnostic. Ultrasound and computed tomography of abdomen can of additional help. This complication can occur years after surgery. High index of suspicion is required for diagnosis. Prompt surgical intervention, still remains the main stay of treatment
Authors and Affiliations
Prof Dr. Karunaharan T. , DR. Sujatha V. , Dr. Uma D.
Keywords
Related Articles
- EP ID EP382261
- DOI -
- Views 31
- Downloads 0
EVALUATION OF THROMBOCYTOPENIA IN THE PEDIATRIC PATIENTS BY PLATELET INDICES: A STUDY IN A TERTIARY CARE HOSPITAL.
Background: Evaluation of thrombocytopenia involves a meticulous approach in which complete clinical history, clinical examination, complete hemogram and bone marrow aspiration if indicated, are included. The various pla...
To assess the awareness and motivation of voluntary blood donation among young students
Background: Blood and Blood products are needed 24 hrs a day, 365 days a year for medical, surgical and genetic disorders .voluntary blood donors are the cornerstone of a safe blood and blood products. In India, majority...
SURVEY ON HONEYBEE DISEASES AND INSECT-PESTS IN SURGUJA OF CHHATTISGARH
A survey work was undertaken for diseases and enemies of Indian honeybees, Apis indica under All India Co-ordinated Research Project on Honeybees & Pollinators to know the status of diseases and enemies in different six...
TO ASSESS KNOWLEDGE REGARDING KANGAROO MOTHER CARE AMONG MOTHERS OF LOW BIRTH WEIGHT BABIES.
Objectives: To assess knowledge regarding kangaroo mother care among mothers of low birth weight babies and to assess the effectiveness of planned health teaching on knowledge regarding kangaroo mother care. Methods: An...
Prevalence Of Fast Food Intake Among Adolescent School Students In Imphal West, Manipur
Fast foods are main agents responsible for many diseases and disorders like obesity, which is likely to cause cardiovascular diseases later on. This cross sectional study was conducted in ten higher secondary schools in...