Gastroduodenal Intussusception: Two Cases of Gastroduodenal Intussusception Following Gastric Plication, Each Managed with a Different Approach.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Roux en y procedure, Omega brown procedure.
- Who it may be relevant to
- Registry conditions: Bariatric Surgery, Intussusception. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The investigators received two female patients in the hospital who developed gastroduodenal intussusception following gastric plication procedure, requiring surgical treatment. Both patients presented with non-specific, atypical abdominal pain several months after the gastric plication. Both patients required surgical intervention, which included manual reduction of the plication followed by subtotal gastrectomy en bloc with Roux-en-Y reconstruction. In the second case, an Omega Brown anastomosis was performed, and a jejunostomy was created after the anastomosis in both patients.
Interventions
- Procedure Roux en y procedure
subtotal gastrectomy en bloc with Roux-en-Y reconstruction, using TA 90 and GIA staplers. The length of the biliopancreatic limb was 50 cm, while the alimentary limb was 80 cm - Procedure Omega brown procedure
Gastrojejunal anastomosis with jejunojejunal anastomosis
Primary outcome measures
- Comparison of management strategies for gastro-duodenal intussusception following gastric plication. [Time frame: 12 weeks following end of treatment.]
Eligibility criteria
Inclusion criteria
\- Patients with gastro-duodenal intussusception following a gastric plication procedure.
Exclusion criteria
- children
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Publications
- Coco D, Leanza S, Fiume I. Small bowel obstruction: a prognostic score index for surgery - a review. Prz Gastroenterol. 2022;17(3):177-182. doi: 10.5114/pg.2022.118454. Epub 2022 Aug 3. PMID 36127935
Identifiers
NCT: NCT06667284 · Gastroduodenal intussuception