A Case of Afferent Loop Obstruction Associated With Remnant Gastric Cancer

Toyokawa, Takahiro; Yamashita, Yoshito; Yamamoto, Atsushi; Inoue, Tohru; Ikehara, Teruyuki; Nishiguchi, Yukio

doi:10.3919/jjsa.72.2004

Cited by 1 publication

(2 citation statements)

References 6 publications

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“…A few cases of gastric cancer with ALS after gastrectomy with Billroth-II or Roux-en Y reconstruction. 4,5 T-colostomy in this case caused traction of afferent loop at the level of Treitz ligament, followed with angulation and partial obstruction of afferent loop. ALS may lead impairment of bile and pancreatic drainage while the pressure in afferent loop raised up to 18 cm H2O.…”

Section: Discussionmentioning

confidence: 69%

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Percutaneous transhepatic duodenal drainage is good option for afferent loop syndrome for obstructive colorectal cancer patient with history of Billroth's operation II: A case report of a rare postoperative complication

Chen

Hsu

Chang

et al. 2023

Clinical Case Reports

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Key Clinical Message Temporal percutaneous transhepatic duodenum drainage (PTDD) seems to be effective in the treatment of postoperative afferent loop syndrome (ALS) following transverse loop colostomy for obstructive colorectal cancer. Abstract Management of obstructive colorectal cancer still remains a challenge. There are various options with different risks of mortality and mobility for obstructive colorectal cancer. A rare unexpected postoperative ALS following a low anterior resection and transverse loop colostomy for obstructive colorectal cancer is presented in this report. A 64‐year‐old man had the acute ALS had been noted 10 days after transverse loop colostomy. An option was temporal PTDD treatment in the patient with history of Billroth's operation II for upper gastrointestinal bleeding 30 years ago. Acute ALS was treated by temporal PTDD. The drainage tube for PTDD was not removed until closure of the transverse colostomy 2 months later. The patient recovered uneventfully. Acute ALS after transverse loop colostomy for obstructive colorectal cancer is rare and has never been reported in the literature. The mechanism of acute ALS after construction of a loop colostomy and the treatment strategy of PTDD for acute ALS is presented.

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Section: Discussionmentioning

confidence: 69%

“…According to PubMed search engine, we found the literature of obstructive colorectal cancer with ALS has never been reported and identified. A few cases of gastric cancer with ALS after gastrectomy with Billroth‐II or Roux‐en Y reconstruction 4,5 …”

Section: Discussionmentioning

confidence: 99%