Gangrenous Jejunogastric Intussusception: Is Reduction advisable?

We have read the article Jejunogastric intussusception with internal herniation in the stomach by Khanna S, Kumar D, Khanna R, and Gupta SK [1] with interest. The authors have described a case, wherein a gangrenous jejunogastric intussusceptions (JGI) was reduced by gentle traction and about 30 cm of gangrenous bowel was subsequently resected. Presence of gangrene in the intussusceptions is an important consideration in deciding the operative procedure in individual patient and it also affects prognosis. Reduction of gangrenous JGI is difficult, often impossible, and even inadvisable. Rupture of the jejunal wall may occur at the site of necrotic areas [2] and cause peritoneal contamination.