Retrograde gastric intussusception after myotomy for achalasia.
Retrograde gastroesophageal intussusception has been rarely reported in the literature. Risk factors include poor fixation of the stomach due to either long or loose mesenteric attachments; high intraabdominal pressure due to retching, physical exertion, or ascites; and hiatal hernia, which can lead to the development of a large gastroesophageal opening. An attempt at endoscopic reduction is reasonable, but laparotomy and manual reduction is usually required. We report a case of retrograde gastroesophageal intussusception in a patient with long-standing achalasia and two previous Heller myotomies.
Ujiki
Michael B
MB
Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Hirano
Ikuo
I
Blum
Matthew G
MG
D004931:Esophageal Achalasia / Q000601:surgery*; D004935:Esophageal Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D011183:Postoperative Complications; D013272:Stomach Diseases / Q000209:etiology*; D014057:Tomography, X-Ray Computed