title: Retrograde intussusception of the efferent limb after a pancreaticojejunostomy.
abstract: Retrograde intussusception is exceedingly rare and has not been reported after a pancreaticojejunostomy. Recurrent retrograde intussusception has been reported only once before. In adults retrograde intussusception has been associated with gastric resection, gastrojejunostomy, Roux-en-Y gastric bypass, and gastrostomy tube placement. We report a case of retrograde intussusception of the efferent limb into the anastomosis of a revised Roux-en-Y bypass of the pancreas. Two long side-to-side anastomoses with plication were performed to prevent a third episode of intussusception involving this patient's Roux-en-Y.
authors.affiliation: Surgical Education Department, Memorial Health University Medical Center, Savannah, Georgia, USA.
authors.forename: Oliver C
authors.initials: OC
authors.lastname: Whipple
authors.forename: E F
authors.initials: EF
authors.lastname: Stringer
authors.forename: Christopher K
authors.initials: CK
authors.lastname: Senkowski
authors.forename: Michael
authors.initials: M
authors.lastname: Hartley
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007443:Intussusception / Q000209:etiology*; D010193:Pancreaticojejunostomy / Q000009:adverse effects*