INCIDENCE OF JEJUNOGASTRIC INTUSSUSSCEPTION FOLLOWING GASTRIC SURGERY IN OUR HOSPITAL
Journal Title: IJAR-Indian Journal of Applied 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. T. Karunaharan, DR. V. Sujatha, Dr. D. Uma
Keywords
Related Articles
- EP ID EP386017
- DOI -
- Views 55
- Downloads 0
Race subjugation and The God of Small Things: A critical reappraisal
The making of the myth of superior race and inferior race has no scientific basis. Still historians down the ages have tried to prove such 'hoax' with manufactured facts. Such pillars of race prejudice have resulted in t...
Impact of Feeding Practices on growth during infancy – A review.
First year of life is very crucial for growth and development. Adequate nutrition through correct feeding practices not only improves the growth but also decreases infections and morbidities during this period. is revie...
Brain Compatible Learning Strategies for Children with Attention Deficit Hyperactive Disorder and Learning Disabilities
This thematic paper focuses its attention on the brain compatible learning strategies for children with attention deficit hyperactive disorder and learning disabilities. Attention Deficit Hyperactivity Disorder (ADHD) is...
A Study on Stress Management of School Teachers With Special Reference To Erode District
“Health is wealth” in this today’s fastest, highly populated and polluted world health is important things without proper health no one cannot live properly in the world. So many peoples are affected by various health pr...
DYEING OF SILK WITH NATURAL DYE KOKUM RIND (GARCINIA INDICA) AND MYROBALAN AND GOOSEBERRY AS MORDANT
Dyeing with natural sources like Garcinia Indica is a powerful source of dyes for textile dyeing. Garcinia Indica is a very popular fruit from Maharashtra. It has various health and beauty benefits. It is also used as me...