Afferent loop syndrome after rouxeny total gastrectomy caused. Ct diagnosis of afferent loop syndrome request pdf. The first jejunal arterial branch was in drumstick congestion with twisted terminal branches on mpr and ct angiography images. In efferent loop syndrome, a portion or limb of the small intestine becomes blocked. Afferent loop syndrome can occur after some types of gastrojejunostomy. Abstractafferent loop obstruction caused by enterolith formation is rare and cannot be easily treated with. Efferent loop syndrome health encyclopedia university of. Alo caused by a malignant lesion needs palliative treatment percutaneous and endoscopic interventions, bypass surgery or excision. During the procedure, a surgeon will remove or bypass the lower part of the stomach and attach the remaining upper part of the stomach to a loop of small. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Efferent loop syndrome health encyclopedia university. The major cause of syndrome is an intestinal hernia.
Know why a new medicine or treatment is prescribed, and how it will help you. The other type of loop syndrome is afferent loop syndrome. Introduction afferent loop syndrome als is a rarely described complication following gastricbypass surgery and the creation of gastrojejunostomy. Efferent loop syndrome is a very rare postgastrectomy syndrome that can occur following billrothii or rouxeny reconstruction. Efferent loop syndrome is one of two loop syndromes that can happen after. Afferent or efferent loop syndrome is a purely mechanical problem characterized by the obstruction of gastric emptying at or near the site of a gastrojejunostomy. Treatment by means of the placement of dual stents. Depending on how severe the efferent loop syndrome has become, the surgeon may have to repair lesions and close any defects to repair the intestine. For acute afferent loop syndrome, emergency surgery may be needed. In a loop syndrome, part of the small intestine becomes blocked. The efferentloop syndrome in a narrow sense refers only to obstruction of the efferent jejunal loop after gastric resection or simple gastroenterostomy.
The treatment may involve medical therapy or surgery. Afferent loop syndrome is a rare complication of gastric surgery. Afferent loop syndrome after subtotal gastrectomy with billrothii reconstruction. Percutaneous cholangioscopic lithotripsy for afferent loop. All aimed at helping you enjoy life by being aware of how to care for your health.
Efferent loop syndrome is a rare post gastectomy syndrome, while afferent loop syndrome is more common. Afferent loop syndrome masquerading as recurrent acute pancr. Etiology and treatment sungheun kim1, jongyoung oh2, kihan kim1, minchan kim1 1department of surgery and 2department of radiology, donga university college of medicine, busan, korea the aimofthisstudy wastoevaluatetheclinical characteristics, treatment. Treatment of afferent loop syndrome depends on the etiology. Pdf the purpose of this article is to assess the technical feasibility and clinical effectiveness of the placement of partially covered.
In a loop syndrome, a portion or limb of the small intestine becomes blocked. Barium studies suggest the diagnosis of afferent loop syndrome if the afferent loop does not fill, but it should be noted that up to 20% of unobstructed afferent loops will not fill during a. What causes efferent loop syndrome after gastric surgery. Endoscopic treatment of efferent loop syndrome with. An external file that holds a picture, illustration, etc. When efferent loop syndrome happens, it is usually within the first few weeks after gastric bypass surgery. Stay up to date with the latest health news and useful resources.
Afferent loop syndrome radiology reference article. The loop carrying food away from the stomach is called the efferent loop. Afferent loop syndrome health encyclopedia university. Efferent loop syndrome is one of two loop syndromes that can happen after some types of gastric surgery. This article is from clinical endoscopy, volume 46.
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