Intussusception after reconstruction following gastrectomy for gastric cancer

World J Surg Oncol. 2021 Dec 8;19(1):340. doi: 10.1186/s12957-021-02456-3.

Abstract

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.

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

Publication types

  • Review

MeSH terms

  • Anastomosis, Roux-en-Y / adverse effects
  • Gastrectomy / adverse effects
  • Gastroenterostomy / adverse effects
  • Humans
  • Intussusception* / etiology
  • Intussusception* / surgery
  • Male
  • Postoperative Complications / etiology
  • Prognosis
  • Stomach Neoplasms* / surgery
  • Treatment Outcome