Percutaneous Transhepatic Placement of Covered, Self-expandable Nitinol Stent for the Relief of Afferent Loop Syndrome: Report of Two Cases

2007 ◽  
Vol 18 (1) ◽  
pp. 157-163 ◽  
Author(s):  
Dong Il Gwon
Keyword(s):  
Nitinol Stent ◽  
Afferent Loop ◽  
Afferent Loop Syndrome ◽  
Syndrome Report

scholarly journals Case 1: Afferent loop syndrome.

1998 ◽  
Vol 171 (3) ◽  
pp. 852-852 ◽  
Author(s):  
M Doherty ◽  
R S Perret
Keyword(s):  
Afferent Loop ◽  
Afferent Loop Syndrome

Afferent Loop Syndrome Revisited

1981 ◽  
Vol 74 (5) ◽  
pp. 599-601 ◽  
Author(s):  
C. DALE BROWN ◽  
JOHN W. KRAUS
Keyword(s):  
Afferent Loop ◽  
Afferent Loop Syndrome

Case 24: Afferent Loop Syndrome

Radiology ◽  
2000 ◽  
Vol 216 (1) ◽  
pp. 142-145 ◽  
Author(s):  
Scott W. Wise
Keyword(s):  
Afferent Loop ◽  
Afferent Loop Syndrome

Endoscopic ultrasound-guided entero-enterostomy for the treatment of afferent loop syndrome: a multicenter experience

Endoscopy ◽  
2018 ◽  
Vol 50 (09) ◽  
pp. 891-895 ◽  
Author(s):  
Olaya Brewer Gutierrez ◽  
Shayan Irani ◽  
Saowanee Ngamruengphong ◽  
Hanaa Aridi ◽  
Rastislav Kunda ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Clinical Success ◽  
Indirect Comparison ◽  
Procedure Time ◽  
Technical Success ◽  
Ultrasound Guided ◽  
Common Procedure ◽  
Afferent Loop ◽  
Afferent Loop Syndrome

Abstract Background Afferent loop syndrome (ALS) is traditionally managed surgically and, more recently, endoscopically. The role of endoscopic ultrasound-guided entero-enterostomy (EUS-EE) has not been well described. The aim of this study was to assess the technical and clinical success and safety of EUS-EE. Methods This was a multicenter, retrospective series at six centers in patients with ALS treated by EUS-EE. Data on patients treated with enteroscopy-assisted luminal stenting (EALS) at a single center were also collected. Results 18 patients (mean age 64.2 years, 72 % post-pancreaticoduodenectomy, 10 female) underwent EUS-EE. The most common symptoms were vomiting (27.8 %) and jaundice (33.3 %). Clinical success included resolution of symptoms in 88.9 % and improvement to allow hospital discharge in 11.1 %. Technical success was achieved in 100 % of cases, with a mean procedure time of 29.7 minutes. The most common procedure was a gastro-jejunostomy (72.2 %). Three adverse events (16.7 %) occurred (two mild, one moderate). When compared with data on EALS, patients treated with EUS-EE needed fewer re-interventions (16.6 % vs. 76.5 %; P < 0.001). Conclusion EUS-EE seems to be safe and effective in the treatment of ALS. Indirect comparison with EALS suggested that EUS-EE is associated with a reduced need for re-intervention.

MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY FOR AFFERENT LOOP SYNDROME

2008 ◽  
Vol 78 (1-2) ◽  
pp. 91-92 ◽  
Author(s):  
Akio Ashida ◽  
Isao Tamura ◽  
Yutaka Kumagiri ◽  
Fumiyasu Fukano ◽  
Shinichiro Suzuki ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Afferent Loop ◽  
Afferent Loop Syndrome

scholarly journals Management of afferent loop syndrome after Roux-en-Y subtotal gastrectomy and choledocolithiasis with recurrent cholangitis

2020 ◽  
Vol 13 (1) ◽  
pp. e232498
Author(s):  
Fernando Azevedo ◽  
Carolina Canhoto ◽  
José Guilherme Tralhão ◽  
Hélder Carvalho
Keyword(s):  
Bile Flow ◽  
Rare Complication ◽  
Acute Cholangitis ◽  
Subtotal Gastrectomy ◽  
Bacterial Overgrowth ◽  
Billroth Ii ◽  
Afferent Loop ◽  
Afferent Loop Syndrome ◽  
Biliary Stasis ◽  
Multiple Episodes

Afferent loop syndrome is a rare complication after gastrectomy with Billroth II or Roux-en-Y reconstruction, caused by an obstruction in the proximal loop. The biliary stasis and bacterial overgrowth secondary to this obstruction can lead to repeated episodes of acute cholangitis. We present the case of a male patient who had previously undergone gastrectomy with Roux-en-Y reconstruction and later experienced multiple episodes of acute cholangitis secondary to choledocolithiasis. He underwent an open exploration of the bile ducts with choledocolitotomy, but the events of cholangitis persisted. Further investigation permitted to identify a dilation of the biliary loop of the Roux-en-Y anastomosis, suggesting enterobiliary reflux as the cause of recurrent acute cholangitis. Therefore, a bowel enterectomy and new jejunojejunostomy were undertaken, and normal biliary flow was re-established. The surgical treatment is mandatory in benign causes, leading to the resolution of the obstruction and subsequent normalisation of bile flow.

scholarly journals Recurrent Cholangitis by Biliary Stasis Due to Non-Obstructive Afferent Loop Syndrome After Pylorus-Preserving Pancreatoduodenectomy: Report of a Case

2014 ◽  
Vol 99 (4) ◽  
pp. 426-431 ◽  
Author(s):  
Yukihiro Sanada ◽  
Naoya Yamada ◽  
Masanobu Taguchi ◽  
Kazue Morishima ◽  
Naoya Kasahara ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Biliary Duct ◽  
Hepatobiliary Scintigraphy ◽  
Double Balloon Enteroscopy ◽  
Afferent Loop ◽  
Balloon Enteroscopy ◽  
Afferent Loop Syndrome ◽  
Double Balloon ◽  
Basket Catheter ◽  
Biliary Stasis

Abstract We report a 71-year-old man who had undergone pylorus-preserving pancreatoduodenectomy (PPPD) using PPPD-IV reconstruction for cholangiocarcinoma. For 6 years thereafter, he had suffered recurrent cholangitis, and also a right liver abscess (S5/8), which required percutaneous drainage at 9 years after PPPD. At 16 years after PPPD, he had been admitted to the other hospital because of acute purulent cholangitis. Although medical treatment resolved the cholangitis, the patient was referred to our hospital because of dilatation of the intrahepatic biliary duct (B2). Peroral double-balloon enteroscopy revealed that the diameter of the hepaticojejunostomy anastomosis was 12 mm, and cholangiography detected intrahepatic stones. Lithotripsy was performed using a basket catheter. At 1 year after lithotripsy procedure, the patient is doing well. Hepatobiliary scintigraphy at 60 minutes after intravenous injection demonstrated that deposit of the tracer still remained in the upper afferent loop jejunum. Therefore, we considered that the recurrent cholangitis, liver abscess, and intrahepatic lithiasis have been caused by biliary stasis due to nonobstructive afferent loop syndrome. Biliary retention due to nonobstructive afferent loop syndrome may cause recurrent cholangitis or liver abscess after hepaticojejunostomy, and double-balloon enteroscopy and hepatobiliary scintigraphy are useful for the diagnosis of nonobstructive afferent loop syndrome.

THE AFFERENT-LOOP SYNDROME

The Lancet ◽  
1952 ◽  
Vol 260 (6747) ◽  
pp. 1189-1193 ◽  
Author(s):  
CharlesA. Wells ◽  
I.W. Macphee
Keyword(s):  
Afferent Loop ◽  
Afferent Loop Syndrome

A case of acute afferent loop syndrome treated by transgastric drainage with EUS

2013 ◽  
Vol 77 (1) ◽  
pp. 132-133 ◽  
Author(s):  
Kazuyuki Matsumoto ◽  
Hironari Kato ◽  
Takeshi Tomoda ◽  
Ichiro Sakakihara ◽  
Naoki Yamamoto ◽  
...  
Keyword(s):  
Afferent Loop ◽  
Afferent Loop Syndrome
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