Afferent Loop Syndrome as Second Presentation of Gastric Outlet Obstruction in Patient With Billroth II Anatomy-Reference-Cited by-同舟云学术

Afferent Loop Syndrome as Second Presentation of Gastric Outlet Obstruction in Patient With Billroth II Anatomy

Published:2023-05 Issue:5 Volume:10 Page:e01043
ISSN:2326-3253
Container-title:ACG Case Reports Journal
language:en
Short-container-title:ACG Case Rep J

Author:

Davis Brenton G.¹,Bayudan Alexis M.²,Kouanda Abdul M.²

Affiliation:

1. Department of Internal Medicine, University of California, San Francisco, San Francisco, CA

2. Department of Gastroenterology, University of California, San Francisco, San Francisco, CA

Abstract

ABSTRACT Afferent loop syndrome can result from both benign and malignant strictures of the biliary limbs of patients with surgically altered anatomy. Afflicted patients accumulate intestinal and pancreaticobiliary secretions, which leads to bowel distention and pain. We describe the endoscopic management of a 52-year-old woman with a history of Billroth II gastrojejunostomy due to gastric cancer who developed malignant gastric outlet obstruction and subsequently malignant afferent loop syndrome, using lumen-apposing metal stents.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

Reference12 articles.

1. Acute afferent loop syndrome in the early postoperative period following pancreaticoduodenectomy;Nageswaran;Ann R Coll Surg Engl,2015

2. Pancreaticoduodenectomy following gastrectomy reconstructed with Billroth II or Roux-en-Y method: Case series and literature review;Kawamoto;Int J Surg Case Rep,2017

3. Afferent loop syndrome after Roux-en-Y total gastrectomy caused by volvulus of the Roux-limb;Katagiri;Case Rep Surg,2016

4. Afferent loop syndrome after Roux-en-Y total gastrectomy caused by volvulus of the Roux-limb;Katagiri;Case Rep Surg,2016

5. Management of afferent loop obstruction: Reoperation or endoscopic and percutaneous interventions?;Blouhos;World J Gastrointest Surg,2015