{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T20:47:27Z","timestamp":1792183647557,"version":"4.4.0"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Jejunal intussusception is a rare but potentially serious complication of gastric surgery, typically involving the gastrojejunostomy or alimentary limbs. A 75\u2010year\u2010old woman underwent laparoscopic distal gastrectomy with D1+ lymphadenectomy and Roux\u2010en\u2010Y reconstruction for early\u2010stage gastric cancer. Postoperatively, she developed intermittent vomiting every 10\u2009days without identifiable triggers and was managed conservatively. However, transient jejunal intussusception involving the bilopancreatic limb was later identified at the jejunojejunal site. Although the intussusception resolved spontaneously, her symptoms persisted. Laparoscopic reoperation revealed mild bulging at the jejunojejunostomy site and a bilopancreatic limb measuring approximately 40\u2009cm, considerably longer than the intended 25\u2009cm. The segment was resected and reconstructed in the antiperistaltic direction using a 25\u2010cm limb. Postoperatively, the patient's symptoms resolved completely. Even minor intraoperative misjudgment of bilopancreatic limb length may lead to functional complications such as intussusception. Awareness of this rare complication can help guide surgical decision\u2010making and postoperative management, ultimately improving patient outcomes.<\/jats:p>","DOI":"10.1111\/ases.70222","type":"journal-article","created":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T01:33:40Z","timestamp":1768613620000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Antegrade Jejunal Intussusception at the Bilopancreatic Limb Jejunojejunostomy After Laparoscopic Distal Gastrectomy With Roux\u2010en\u2010Y Reconstruction: A Case Report"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3379-3890","authenticated-orcid":false,"given":"Kotaro","family":"Kimura","sequence":"first","affiliation":[{"name":"Department of Surgery Teine Keijinkai Hospital  Hokkaido Japan"},{"name":"Gastroenterological Surgery II, Department of Surgery Hokkaido University Faculty of Medicine  Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Surgery Teine Keijinkai Hospital  Hokkaido Japan"},{"name":"Gastroenterological Surgery II, Department of Surgery Hokkaido University Faculty of Medicine  Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9920-6296","authenticated-orcid":false,"given":"Zen","family":"Naito","sequence":"additional","affiliation":[{"name":"Department of Surgery Teine Keijinkai Hospital  Hokkaido Japan"},{"name":"Gastroenterological Surgery II, Department of Surgery Hokkaido University Faculty of Medicine  Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Surgery Teine Keijinkai Hospital  Hokkaido Japan"},{"name":"Gastroenterological Surgery II, Department of Surgery Hokkaido University Faculty of Medicine  Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiro","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Surgery Teine Keijinkai Hospital  Hokkaido Japan"},{"name":"Gastroenterological Surgery II, Department of Surgery Hokkaido University Faculty of Medicine  Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriaki","family":"Kyogoku","sequence":"additional","affiliation":[{"name":"Department of Surgery Teine Keijinkai Hospital  Hokkaido Japan"},{"name":"Gastroenterological Surgery II, Department of Surgery Hokkaido University Faculty of Medicine  Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takumi","family":"Yamabuki","sequence":"additional","affiliation":[{"name":"Department of Surgery Teine Keijinkai Hospital  Hokkaido Japan"},{"name":"Gastroenterological Surgery II, Department of Surgery Hokkaido University 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