4.6 Review

Intussusception after reconstruction following gastrectomy for gastric cancer

Journal

WORLD JOURNAL OF SURGICAL ONCOLOGY
Volume 19, Issue 1, Pages -

Publisher

BMC
DOI: 10.1186/s12957-021-02456-3

Keywords

Radical gastrectomy; Intussusception; Roux-en-Y; Billroth II; mechanism; diagnosis; treatment

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The article discusses the occurrence and treatment of intussusception after gastric surgery, focusing mainly on the anastomosis sites following Billroth II and Roux-en-Y reconstruction, while also mentioning cases after bariatric surgery.
Background Gastric cancer is the most prevalent tumor in Chinese men, and surgery is currently the most important treatment. Billroth II and Roux-en-Y are the anastomosis methods used for reconstruction after gastrectomy. Jejunal intussusception is a rare complication after gastric surgery. Main Body Intussusception after gastric surgery occurs mostly at the gastrojejunostomy site for Billroth II reconstruction, and the Y-anastomosis site for Roux-en-Y reconstruction. Many studies have reported that postoperative intussusception appears at the anastomosis after bariatric surgery, while a few have reported intussusception at the anastomosis and its distal end after radical gastrectomy. Conclusion A review was carried out to analyze intussusception after radical gastrectomy with roux-en-y anastomosis during the current situation. And the relevant mechanisms, diagnosis, treatment methods, etc. are described, hoping to provide better guidance for clinicians

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