scholarly journals Afferent Loop Syndrome with Intestinal Ischemia due to Internal Hernia after Whipple Operation for T2N1M0 Pancreatic Cancer

2020 ◽  
Vol 10 ◽  
pp. 43
Author(s):  
Marijan Pejic ◽  
Arthur A. Parsee
Keyword(s):  
Intestinal Ischemia ◽  
Surgical Intervention ◽  
Whipple Procedure ◽  
Bowel Ischemia ◽  
Whipple Operation ◽  
Afferent Loop ◽  
Afferent Loop Syndrome ◽  
Delay In Diagnosis ◽  
Characteristic Features ◽  
Uncommon Complication

Afferent loop syndrome is an uncommon complication of Whipple procedure. The often vague and non-specific presentation results in difficulty and/or delay in diagnosis, which may lead to bowel ischemia or perforation. CT can demonstrate characteristic features, yield the diagnosis of afferent loop syndrome, and predict the cause before surgical intervention. We present a rare etiology of acute afferent loop syndrome in a patient 6 weeks after Whipple procedure who was reportedly recovering well, which resulted in prompt surgical intervention.

scholarly journals Acute cholangitis due to afferent loop syndrome after a Whipple procedure: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 6339 ◽  
Author(s):  
John Spiliotis ◽  
Demetrios Karnabatidis ◽  
Archodoula Vaxevanidou ◽  
Anastasios C Datsis ◽  
Athanasios Rogdakis ◽  
...  
Keyword(s):  
Case Report ◽  
Acute Cholangitis ◽  
Whipple Procedure ◽  
Afferent Loop ◽  
Afferent Loop Syndrome

scholarly journals Effects of adding Braun jejunojejunostomy to standard Whipple procedure on reduction of afferent loop syndrome — a randomized clinical trial

2015 ◽  
Vol 58 (6) ◽  
pp. 378-382 ◽  
Author(s):  
Farzad Kakaei ◽  
Samad Beheshtirouy ◽  
Seyed Moahammad Reza Nejatollahi ◽  
Iqbal Rashidi ◽  
Touraj Asvadi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Whipple Procedure ◽  
Afferent Loop ◽  
Afferent Loop Syndrome

Utility of RDW in Prediction of Strangulation in Emergency Setting Hernias

2015 ◽  
Vol 100 (9-10) ◽  
pp. 1262-1264
Author(s):  
Okan Akturk ◽  
Baris Dogu Yildiz ◽  
Melih Karabeyoglu ◽  
Isıl Karabeyoglu
Keyword(s):  
Intestinal Ischemia ◽  
Surgical Intervention ◽  
Serum Markers ◽  
Emergency Setting ◽  
Red Cell ◽  
Cell Distribution ◽  
Blood Cell Count ◽  
Distribution Width ◽  
Abdominal Hernias ◽  
Operative Findings

Most of the small bowel obstruction cases are due to adhesions and hernias. Identifying strangulated cases may save patients from consequences of unnecessary operations and save patients who need urgent intervention by early detection. Serum markers of intestinal ischemia may help to identify and detect strangulation. The aim of this study was to identify if certain blood values such as RDW can accurately predict presence of strangulation preoperatively. We reviewed files of 127 patients who were operated because of incarcerated abdominal hernias for serum biomarkers and evaluated them with the operative findings. Our results show that elevation in red cell distribution width and white blood cell count may reflect strangulation. These findings may be useful in identifying the strangulated cases that need urgent surgical intervention.

Small Bowel Obstruction

2010 ◽  
Vol 21 (2) ◽  
pp. 187-194
Author(s):  
Colleen Trevino
Keyword(s):  
Small Bowel ◽  
Physical Examination ◽  
Surgical Intervention ◽  
Signs And Symptoms ◽  
Bowel Ischemia ◽  
Key Factors ◽  
The Past ◽  
Factors Influencing ◽  
Imaging Response

Strategies for the management of small bowel obstructions have changed significantly over the years. Nonoperative medical management has become the mainstay of treatment of many small bowel obstructions. However, the key to the management of small bowel obstructions is identifying those patients who need surgical intervention. Identification of those at risk for bowel ischemia and bowel death is an art as much as it is a science. Using the current literature and the past knowledge regarding small bowel obstructions, the clinician must carefully identify the signs and symptoms that suggest the need for operative intervention. Classification of the obstruction, history and physical examination, imaging, response to decompression and resuscitation, and resolution or progression of symptoms are the key factors influencing the management of small bowel obstructions.

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

scholarly journals Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon Complication

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Umair Masood ◽  
Anuj Sharma ◽  
Wajihuddin Syed ◽  
Divey Manocha
Keyword(s):  
Heat Stroke ◽  
Kidney Injury ◽  
Bowel Ischemia ◽  
Ascending Colon ◽  
Rare Presentation ◽  
Early Presentation ◽  
Adequate Hydration ◽  
Unique Aspect ◽  
Bowel Movements ◽  
Uncommon Complication

A healthy 27-year-old female presented to the hospital after she collapsed an hour into her first marathon run on a hot humid day. On presentation, she was hyperthermic, encephalopathic, tachycardic, and hypotensive. On admission, she was found to have lactic acidosis, rhabdomyolysis, and acute kidney injury and was treated with cold normal saline and cooling blankets. She subsequently started having abdominal pain and bloody bowel movements. Computed tomography of the abdomen revealed ascending colon thickening. Furthermore, her lab findings showed transaminitis and elevated coagulation parameters. Due to the acute hypotensive state from the heat stroke, patient had developed bowel ischemia, ischemic hepatitis, and disseminated intravascular coagulation, all of which are uncommon complications of heat stroke. She was managed aggressively with intravenous fluid hydration with resolution of her symptoms over the course of 4 days. In addition to the uncommon complications, early presentation of this bowel ischemia despite adequate hydration in such a healthy individual is another unique aspect of the case.

scholarly journals Benign pneumatosis intestinalis: a cause of massive pneumoperitoneum in the adult

CJEM ◽  
2003 ◽  
Vol 5 (06) ◽  
pp. 416-420 ◽  
Author(s):  
David M. Liu ◽  
William C. Torreggiani ◽  
Kevin Rowan ◽  
Savvas Nicolaou
Keyword(s):  
Bowel Wall ◽  
Surgical Intervention ◽  
Pneumatosis Intestinalis ◽  
Bowel Ischemia ◽  
Benign Condition ◽  
Distinguishing Features

ABSTRACT Pneumatosis intestinalis (gas in the bowel wall) is often a benign condition, but it may mimic bowel ischemia or infarction and lead to unnecessary surgical intervention, especially when associated with pneumoperitoneum. We present a case of benign pneumatosis intestinalis with massive pneumoperitoneum and discuss various distinguishing features that may aid in its diagnosis.

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
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