Adult Intestinal Intussusception Caused by the Gastrojejunostomy Tube: An Endoscopically Treatable Phenomenon
Adult duodenoduodenal intussusception is extremely rare due to the retroperitoneal fixation of the second, third, and fourth parts of the duodenum. A majority of clinically significant intussusception with identifiable etiologies is typically neoplastic with more rare causes including retained food...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/4325443 |
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| author | Kermit S. Zhang Jash Bansal Anmol Bansal Vikas Chitnavis |
| author_facet | Kermit S. Zhang Jash Bansal Anmol Bansal Vikas Chitnavis |
| author_sort | Kermit S. Zhang |
| collection | DOAJ |
| description | Adult duodenoduodenal intussusception is extremely rare due to the retroperitoneal fixation of the second, third, and fourth parts of the duodenum. A majority of clinically significant intussusception with identifiable etiologies is typically neoplastic with more rare causes including retained food and indwelling enteral tubes, specifically with gastrojejunostomy (GJ) tubes. Herein, we discuss the case of a 23-year-old male who developed duodenoduodenal intussusception upon a PEGJ placement with associated gastroduodenal dilation and telescope phenomenon. To the best of our knowledge, there are no reports of intussusception found to be caused by GJ tubes in the adult population. The reported patient was found to have a 4-cm enteroenteric intussusception without obstruction or ischemia with bowel thickening proximal to the pathology. Although adult intussusception cases are typically managed surgically, we were able to reduce the intussusception via endoscopy due to rapid diagnosis upon presentation and intervention before the bowel wall could be compromised. |
| format | Article |
| id | doaj-art-2f1231adb3bd4b3589fcb536a8a749e4 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-2f1231adb3bd4b3589fcb536a8a749e42025-08-20T03:55:16ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362021-01-01202110.1155/2021/43254434325443Adult Intestinal Intussusception Caused by the Gastrojejunostomy Tube: An Endoscopically Treatable PhenomenonKermit S. Zhang0Jash Bansal1Anmol Bansal2Vikas Chitnavis3Virginia Tech Carilion School of Medicine, Roanoke, VA, USADepartment of Gastroenterology, Carilion Clinic Memorial Hospital, Roanoke, VA, USADepartment of Radiology, Carilion Clinic Memorial Hospital, Roanoke, VA, USADepartment of Gastroenterology, Carilion Clinic Memorial Hospital, Roanoke, VA, USAAdult duodenoduodenal intussusception is extremely rare due to the retroperitoneal fixation of the second, third, and fourth parts of the duodenum. A majority of clinically significant intussusception with identifiable etiologies is typically neoplastic with more rare causes including retained food and indwelling enteral tubes, specifically with gastrojejunostomy (GJ) tubes. Herein, we discuss the case of a 23-year-old male who developed duodenoduodenal intussusception upon a PEGJ placement with associated gastroduodenal dilation and telescope phenomenon. To the best of our knowledge, there are no reports of intussusception found to be caused by GJ tubes in the adult population. The reported patient was found to have a 4-cm enteroenteric intussusception without obstruction or ischemia with bowel thickening proximal to the pathology. Although adult intussusception cases are typically managed surgically, we were able to reduce the intussusception via endoscopy due to rapid diagnosis upon presentation and intervention before the bowel wall could be compromised.http://dx.doi.org/10.1155/2021/4325443 |
| spellingShingle | Kermit S. Zhang Jash Bansal Anmol Bansal Vikas Chitnavis Adult Intestinal Intussusception Caused by the Gastrojejunostomy Tube: An Endoscopically Treatable Phenomenon Case Reports in Gastrointestinal Medicine |
| title | Adult Intestinal Intussusception Caused by the Gastrojejunostomy Tube: An Endoscopically Treatable Phenomenon |
| title_full | Adult Intestinal Intussusception Caused by the Gastrojejunostomy Tube: An Endoscopically Treatable Phenomenon |
| title_fullStr | Adult Intestinal Intussusception Caused by the Gastrojejunostomy Tube: An Endoscopically Treatable Phenomenon |
| title_full_unstemmed | Adult Intestinal Intussusception Caused by the Gastrojejunostomy Tube: An Endoscopically Treatable Phenomenon |
| title_short | Adult Intestinal Intussusception Caused by the Gastrojejunostomy Tube: An Endoscopically Treatable Phenomenon |
| title_sort | adult intestinal intussusception caused by the gastrojejunostomy tube an endoscopically treatable phenomenon |
| url | http://dx.doi.org/10.1155/2021/4325443 |
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