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Published in: Pediatric Radiology 11/2004

01-11-2004 | Case Report

Small-bowel intussusception around a gastrojejunostomy tube resulting in ischemic necrosis of the intestine

Authors: G. C. Hui, J. T. Gerstle, M. Weinstein, B. Connolly

Published in: Pediatric Radiology | Issue 11/2004

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Abstract

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.
Literature
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go back to reference Chait PG, Weinberg J, Connolly B (1996) Retrograde percutaneous gastrostomy and gastrojejunostomy in 505 children: a 4.5 year experience. Radiology 201:691–695PubMed Chait PG, Weinberg J, Connolly B (1996) Retrograde percutaneous gastrostomy and gastrojejunostomy in 505 children: a 4.5 year experience. Radiology 201:691–695PubMed
2.
go back to reference Hughes UM, Connolly BL, Chait PG, et al (2000) Further report of small-bowel intussusceptions related to gastrojejunostomy tubes. Pediatr Radiol 30:614–617CrossRefPubMed Hughes UM, Connolly BL, Chait PG, et al (2000) Further report of small-bowel intussusceptions related to gastrojejunostomy tubes. Pediatr Radiol 30:614–617CrossRefPubMed
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go back to reference Connolly BL, Chait PG, Siva-Nandan R, et al (1998) Recognition of intussusception around gastrojejunostomy tubes in children. AJR 170:467–470 Connolly BL, Chait PG, Siva-Nandan R, et al (1998) Recognition of intussusception around gastrojejunostomy tubes in children. AJR 170:467–470
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go back to reference Hughes U, Connolly B (2001) Small-bowel intussusceptions occurring around nasojejunal enteral tubes—three cases occurring in children. Pediatr Radiol 31:456–457CrossRefPubMed Hughes U, Connolly B (2001) Small-bowel intussusceptions occurring around nasojejunal enteral tubes—three cases occurring in children. Pediatr Radiol 31:456–457CrossRefPubMed
Metadata
Title
Small-bowel intussusception around a gastrojejunostomy tube resulting in ischemic necrosis of the intestine
Authors
G. C. Hui
J. T. Gerstle
M. Weinstein
B. Connolly
Publication date
01-11-2004
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 11/2004
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-004-1230-8

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