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Tube feeding associated postoperative intussusceptions: A single center case series study

RATIONALE: Postoperative intussusception in adults is a rare but serious complication after gastrointestinal anastomosis surgery. Postoperative intussusception in adults caused by tube feeding was rarely been reported before. The aim of the current study was to summarize the clinical data on a group...

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Autores principales: Hu, Liangshuo, Yin, Guozhi, Zhang, Dong, Geng, Zhimin, Bai, Jigang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946534/
https://www.ncbi.nlm.nih.gov/pubmed/31689848
http://dx.doi.org/10.1097/MD.0000000000017783
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author Hu, Liangshuo
Yin, Guozhi
Zhang, Dong
Geng, Zhimin
Bai, Jigang
author_facet Hu, Liangshuo
Yin, Guozhi
Zhang, Dong
Geng, Zhimin
Bai, Jigang
author_sort Hu, Liangshuo
collection PubMed
description RATIONALE: Postoperative intussusception in adults is a rare but serious complication after gastrointestinal anastomosis surgery. Postoperative intussusception in adults caused by tube feeding was rarely been reported before. The aim of the current study was to summarize the clinical data on a group of patients with tube feeding associated postoperative intussusceptions. The possible etiology and preventive measures will also be discussed. PATIENT CONCERNS: During the period from May 2013 to January 2018, patients who received gastrointestinal anastomosis in our center were retrospectively reviewed. Preoperative variables including standard demographic and pathological characteristics as well as the treatment and prognosis were also analyzed. DIAGNOSES: Tube feeding associated postoperative intussusceptions. INTERVENTIONS: 7 patients were identified with tube feeding associated postoperative intussusceptions with a prevalence of 0.38%. Intussusceptions occurred from 10 to 69 days (median 25.7 days) postoperatively in an acute form. OUTCOMES: None of the patients had spontaneous reduction and all patients underwent surgery. Antegrade efferent limb intussusceptions were found in all the cases. Intussusception occurred at efferent loop at 23.6 cm (range 15–60) from the gastrointestinal or Braun anastomosis. None of the patients was found recurrence throughout the follow-up period. LESSONS: In contrast with other postoperative intussusceptions, the tube feeding associated postoperative intussusceptions have special clinical manifestations. It is more likely to occur in early period of time after the surgery and in an acute form. Surgical correction is recommended for most of patients. Several measures have been proposed to prevent such complications after gastrointestinal surgery, however more research and information are still needed.
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spelling pubmed-69465342020-01-31 Tube feeding associated postoperative intussusceptions: A single center case series study Hu, Liangshuo Yin, Guozhi Zhang, Dong Geng, Zhimin Bai, Jigang Medicine (Baltimore) 4500 RATIONALE: Postoperative intussusception in adults is a rare but serious complication after gastrointestinal anastomosis surgery. Postoperative intussusception in adults caused by tube feeding was rarely been reported before. The aim of the current study was to summarize the clinical data on a group of patients with tube feeding associated postoperative intussusceptions. The possible etiology and preventive measures will also be discussed. PATIENT CONCERNS: During the period from May 2013 to January 2018, patients who received gastrointestinal anastomosis in our center were retrospectively reviewed. Preoperative variables including standard demographic and pathological characteristics as well as the treatment and prognosis were also analyzed. DIAGNOSES: Tube feeding associated postoperative intussusceptions. INTERVENTIONS: 7 patients were identified with tube feeding associated postoperative intussusceptions with a prevalence of 0.38%. Intussusceptions occurred from 10 to 69 days (median 25.7 days) postoperatively in an acute form. OUTCOMES: None of the patients had spontaneous reduction and all patients underwent surgery. Antegrade efferent limb intussusceptions were found in all the cases. Intussusception occurred at efferent loop at 23.6 cm (range 15–60) from the gastrointestinal or Braun anastomosis. None of the patients was found recurrence throughout the follow-up period. LESSONS: In contrast with other postoperative intussusceptions, the tube feeding associated postoperative intussusceptions have special clinical manifestations. It is more likely to occur in early period of time after the surgery and in an acute form. Surgical correction is recommended for most of patients. Several measures have been proposed to prevent such complications after gastrointestinal surgery, however more research and information are still needed. Wolters Kluwer Health 2019-11-01 /pmc/articles/PMC6946534/ /pubmed/31689848 http://dx.doi.org/10.1097/MD.0000000000017783 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 4500
Hu, Liangshuo
Yin, Guozhi
Zhang, Dong
Geng, Zhimin
Bai, Jigang
Tube feeding associated postoperative intussusceptions: A single center case series study
title Tube feeding associated postoperative intussusceptions: A single center case series study
title_full Tube feeding associated postoperative intussusceptions: A single center case series study
title_fullStr Tube feeding associated postoperative intussusceptions: A single center case series study
title_full_unstemmed Tube feeding associated postoperative intussusceptions: A single center case series study
title_short Tube feeding associated postoperative intussusceptions: A single center case series study
title_sort tube feeding associated postoperative intussusceptions: a single center case series study
topic 4500
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946534/
https://www.ncbi.nlm.nih.gov/pubmed/31689848
http://dx.doi.org/10.1097/MD.0000000000017783
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