Small-bowel intussusception around a gastrojejunostomy tube resulting in ischemic necrosis of the intestine.
Gastrojejunostomy (GJ) tube feeding has made a significant difference in the lives of children with oropharyngeal motor problems and severe gastroesophageal reflux disease. It may, however, also lead to small-bowel intussusception. Previously, these intussusceptions have been reported as intermittent, self limiting, and innocuous. We report a case of a GJ-tube-related small-bowel intussusception that resulted in ischemic necrosis of the bowel. This case suggests that close monitoring and confirmation of successful reduction is necessary in the treatment of GJ-tube-related small-bowel intussusception.
Hui
G C
GC
Division of Image Guided Therapy, Department of Diagnostic Imaging, University of Toronto, The Hospital for Sick Children, 555 University Ave, Toronto, ON, Canada M5G 1X8.
Gerstle
J T
JT
Weinstein
M
M
Connolly
B
B
D004750:Enteral Nutrition / Q000009:adverse effects* / Q000295:instrumentation; D005774:Gastrostomy / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007223:Infant; D007421:Intestine, Small / Q000098:blood supply*; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology*; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology*; D007582:Jejunostomy / Q000009:adverse effects* / Q000295:instrumentation; D008297:Male; D009336:Necrosis