{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:27:00Z","timestamp":1791563220990,"version":"4.3.4"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,6,14]],"date-time":"2023-06-14T00:00:00Z","timestamp":1686700800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,6]]},"abstract":"Key Clinical Message<\/jats:title>Feeding jejunostomy (FJ) is one of the frequently performed surgical procedures for enteral nutrition, but intussusception a very rare complication with quite challenging clinical outcome. It symbolizes a surgical emergency requiring prompt diagnosis.<\/jats:p><\/jats:sec>Abstract<\/jats:title>Feeding jejunostomy (FJ) is a minor surgical intervention, which might lead to consequences that are potentially fatal. Mechanical issues such as infection, tube dislocation or migration, electrolyte and fluid imbalances, as well as complaints of gastrointestinal tract, are the most frequent consequences. A 76\u2010year\u2010old female, who is a known case of carcinoma (CA) esophagus: Stage 4 with Eastern Cooperative Oncology Group (ECOG) Class 3 presented with complaints of difficulty in swallowing and vomiting. As a part of palliative treatment, FJ is done and patient was discharged on postoperative day (POD) 2. Patient again presented to emergency department after 2\u2009months with complaints of pain abdomen, unable to pass flatus and stools for 2\u2009days. Contrast\u2010enhanced computed tomography was done, which revealed intussusception of jejunum with lead point as tip of feeding tube. Intussusception of jejunal loops is noted 20 centimeters distal to the site of insertion of FJ tube with tip of feeding tube as lead point. Reduction of bowel loops was achieved by gentle compression of distal part and are found to be viable. FJ tube was then removed and repositioned after which the obstruction got relieved. Intussusception is an extremely rare complication of FJ, where the clinical presentation can be likely to the various causes of small bowel obstruction. The fatal complications like intussusception in FJ can be prevented by remembering some technical considerations, such as attaching a 4\u20135\u2009cm segment of the jejunum to the abdominal wall rather than a single\u2010point fixation and maintaining a minimum distance of 15\u2009cm between the duodenojejunal (DJ) flexure and the FJ site.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.7460","type":"journal-article","created":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T04:40:26Z","timestamp":1686804026000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["An extremely rare case of feeding jejunostomy proceeding to intussusception"],"prefix":"10.1002","volume":"11","author":[{"given":"Taraka Krishna","family":"Nulukurthi","sequence":"first","affiliation":[{"name":"Department of General Surgery Konaseema Institute of Medical Sciences and Research Foundation (KIMS&RF) Amalapuram India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5685-6049","authenticated-orcid":false,"given":"L. V. Simhachalam","family":"Kutikuppala","sequence":"additional","affiliation":[{"name":"Department of General Surgery Dr YSR University of Health Sciences Vijayawada India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sai Kiran","family":"Kuchana","sequence":"additional","affiliation":[{"name":"Department of General Surgery Kakatiya Medical College Warangal India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihnea\u2010Alexandru","family":"G\u0103man","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Carol Davila University of Medicine and Pharmacy Bucharest Romania"},{"name":"Department of Hematology, Center of Hematology and Bone Marrow Transplantation Fundeni Clinical Institute Bucharest Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0733-8912","authenticated-orcid":false,"given":"Samrat Babu","family":"Koirala","sequence":"additional","affiliation":[{"name":"Nepalese Army Institute of Health sciences College of Medicine Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sri Harsha","family":"Boppana","sequence":"additional","affiliation":[{"name":"Division of Perioperative Informatics\/Department of Biomedical, Informatics\/Division of Regional Anesthesia, Department of Anaesthesiology University of California, San Diego La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2022.107447"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2020.10.024"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.12945"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-200219"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2011.tb03244.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-005-0789-3"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13193-016-0604-3"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0929-6646(09)60129-7"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgh3.12155"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-016-3297-6"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13193-013-0271-6"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/0189-6725.59358"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.7460","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T16:00:25Z","timestamp":1692547225000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.7460"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1002\/ccr3.7460"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.7460","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6]]},"assertion":[{"value":"2023-02-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e7460"}}