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October 1966

Retrograde Intussusception After Total Gastrectomy: Report of a Case

Author Affiliations

From the sections of surgery (Dr. Bernatz) and medicine (Dr. Brown), Mayo Clinic and Mayo Foundation, and the Mayo Graduate School of Medicine (Dr. Freeman), Rochester.

Arch Surg. 1966;93(4):586-588. doi:10.1001/archsurg.1966.01330040050008

TOTAL gastrectomy has always been considered by surgeons to be a formidable procedure; this is justified by the operative mortality of 10%.1 Those patients who survive the operation, and remain well with respect to whatever necessitated the total gastrectomy initially, require adjustments in their way of life to meet a variety of functional and metabolic problems. Early complications of this procedure include bleeding from suture lines, stomal obstruction, small bowel volvulus, and loss of viability of the segment of jejunum used to restore intestinal continuity. The most common complication occurring early in the postoperative period is loss of integrity of the esophagointestinal anastomosis; this accounts for 50% of the fatal complications in the early postoperative period.1 Intussusception is a rare complication of gastrectomy. It may occur either in the immediate postoperative period or as late as 26 years after operation.2 The following report describes a patient in

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