484 results match your criteria Afferent Loop Syndrome


Endoscopic ultrasound guided gastrojejunostomy.

Transl Gastroenterol Hepatol 2018 21;3:93. Epub 2018 Nov 21.

Borland Groover Clinic, Advanced Therapeutic Endoscopy Center, Jacksonville, FL, USA.

Endoscopic ultrasound guided gastrojejunostomy (EUS-GJ) has been mostly employed in the treatment of benign and malignant gastric outlet obstruction (GOO). Additionally, EUS-GJ has been used in the treatment of afferent loop syndrome. EUS-GJ has been employed in the treatment of benign and malignant GOO. Read More

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http://dx.doi.org/10.21037/tgh.2018.11.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6286920PMC
November 2018
2 Reads

Self-expanding metal stent procedure for afferent loop syndrome with ascending cholangitis caused by remnant gastric cancer: A case report.

Medicine (Baltimore) 2018 Dec;97(50):e13072

Department of Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju.

Rationale: Self-expanding metal stent placement is a useful procedure for intestinal obstruction. Afferent loop syndrome after gastrectomy is an uncommon complication of gastroenterostomy reconstruction. Ascending cholangitis caused by afferent loop syndrome is a potential, but rare, complication. Read More

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http://dx.doi.org/10.1097/MD.0000000000013072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320138PMC
December 2018
3 Reads

Diagnosis and management of floppy pouch complex.

Gastroenterol Rep (Oxf) 2018 Nov 3;6(4):246-256. Epub 2018 Jul 3.

Gastroenterology and Hepatology, Center for Inflammatory Bowel Disease, Cleveland Clinic, Cleveland, OH, USA.

Restorative proctocolectomy with ileal pouch-anal anastomosis has become the surgical treatment of choice for patients with refractory ulcerative colitis, colitis-associated dysplasia or familial adenomatous polyposis. There are various pouch disorders and associated complications. Floppy pouch complex is defined as the presence of pouch prolapse, afferent limb syndrome, enterocele, redundant loop and folding pouch on pouchoscopy, gastrografin pouchogram or defecography. Read More

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https://academic.oup.com/gastro/article/6/4/246/5048415
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http://dx.doi.org/10.1093/gastro/goy021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6225829PMC
November 2018
18 Reads

Efficiency and risks of laparoscopic conversion of omega anastomosis gastric bypass to Roux-en-Y gastric bypass.

Surg Endosc 2018 Oct 23. Epub 2018 Oct 23.

Department of Bariatric Surgery, AZ Sint-Blasius, Dendermonde, Belgium.

Background: There is a paucity on literature data related to conversion of Omega anastomosis gastric bypass (OAGB) to Roux-en-Y gastric bypass (RYGB).

Methods: This is a retrospective study. Records of all patients who underwent this conversion were analyzed. Read More

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http://link.springer.com/10.1007/s00464-018-6552-y
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http://dx.doi.org/10.1007/s00464-018-6552-yDOI Listing
October 2018
11 Reads

Outcome of endoscopic small-bore naso-jejunal tube stenting in early postoperative jejunal limb obstruction after gastrectomy.

Surg Endosc 2019 Feb 12;33(2):520-527. Epub 2018 Jul 12.

Department of Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, 1873 Rama 4 rd., Bangkok, 10330, Thailand.

Background: Early postoperative jejunal limb obstruction is a rare complication following gastric surgery with jejunal reconstruction. The condition is mainly attributed to kinking of the jejunal limbs, gastrojejunal or jejunojejunal anastomosis. There has been currently limited information regarding the safety and efficacy of endoscopic treatment in patients with early postoperative jejunal obstruction. Read More

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http://dx.doi.org/10.1007/s00464-018-6326-6DOI Listing
February 2019
8 Reads

A patient with abdominal pain and obstructive jaundice.

Turk J Gastroenterol 2018 03;29(2):233-236

Department of General Surgery, Derince Training and Research Hospital, Kocaeli, Turkey.

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http://dx.doi.org/10.5152/tjg.2018.17613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284700PMC
March 2018
20 Reads

Metal Stent Placement in the Afferent Loop Obstructed by Peritoneal Metastases-Experience of Five Cases.

Clin Endosc 2018 May 18;51(3):299-303. Epub 2018 Apr 18.

Department of Gastroenterology, Sendai City Medical Center, Sendai, Japan.

Afferent loop syndrome is often difficult to resolve. Among patients with afferent loop syndrome whose data were extracted from databases, 5 patients in whom metal stent placement was attempted were included and evaluated in this study. The procedure was technically successful without any adverse events in all patients. Read More

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http://e-ce.org/journal/view.php?doi=10.5946/ce.2018.005
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http://dx.doi.org/10.5946/ce.2018.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997072PMC
May 2018
5 Reads

Cholangitis secondary to afferent loop syndrome from a gastric stump adenocarcinoma.

Rev Esp Enferm Dig 2018 Apr;110(4):253

Aparato Digestivo, Complexo Hospitalario Universitario A Coruña.

A clinical case of an 85-year-old patient with cholangitis secondary to afferent loop syndrome from gastric stump adenocarinoma. A brief review of the literature on it is made. Read More

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http://dx.doi.org/10.17235/reed.2018.5394/2017DOI Listing
April 2018
1 Read

A Case of Non-Obstructive Afferent Loop Syndrome after Roux-en-Y Gastric Bypass.

Am Surg 2018 Feb;84(2):318-319

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February 2018
2 Reads

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

Endoscopy 2018 09 2;50(9):891-895. Epub 2018 Mar 2.

Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States.

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. Read More

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http://dx.doi.org/10.1055/s-0044-102254DOI Listing
September 2018
16 Reads

Biochemical markers of striatal desensitization in cortical-limbic hyperglutamatergic TS- & OCD-like transgenic mice.

J Chem Neuroanat 2018 Apr 24;89:11-20. Epub 2018 Feb 24.

Department of Pharmacology, University of Minnesota, 6-120 Jackson Hall, 321 Church Street SE, Minneapolis MN 55455-0217, USA; Minneapolis Medical Research Foundation, Hennepin County Medical Center, 701 Park Ave, Shapiro S3.111, Minneapolis MN 55415-1623 USA. Electronic address:

Tics and compulsions in comorbid Tourette's syndrome (TS) and obsessive-compulsive disorder (OCD) are associated with chronic hyperactivity of parallel cortico/amygdalo-striato-thalamo-cortical (CSTC) loop circuits. Comorbid TS- & OCD-like behaviors have likewise been observed in D1CT-7 mice, in which an artificial neuropotentiating transgene encoding the cAMP-elevating intracellular subunit of cholera toxin (CT) is chronically expressed selectively in somatosensory cortical & amygdalar dopamine (DA) D1 receptor-expressing neurons that activate cortico/amygdalo-striatal glutamate (GLU) output. We've now examined in D1CT-7 mice whether the chronic GLU output from their potentiated cortical/limbic CSTC subcircuit afferents associated with TS- & OCD-like behaviors elicits desensitizing neurochemical changes in the striatum (STR). Read More

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http://dx.doi.org/10.1016/j.jchemneu.2018.02.007DOI Listing
April 2018
11 Reads

[A Case of Roux-en-Y Loop Reconstruction Using a Modified Aboral Pouch Technique for Y-Limb Obstruction Following Distal Gastrectomy].

Gan To Kagaku Ryoho 2017 Oct;44(10):929-931

Dept. of Gastrointestinal Surgery, Kanagawa Cancer Center.

A 53-year-old man underwentdistal gastrectomy with Roux-en-Y(R-Y)reconstruction for gastric cancer. An R-Y anastomosis was performed usinga 21mm circular stapler. Five years postoperatively, he visited our hospital with anorexia. Read More

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October 2017
14 Reads

Afferent loop syndrome treated by endoscopic ultrasound-guided gastrojejunostomy, using a lumen-apposing metal stent with an electrocautery-enhanced delivery system.

Endoscopy 2017 11 10;49(11):E270-E272. Epub 2017 Aug 10.

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.

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http://dx.doi.org/10.1055/s-0043-115893DOI Listing
November 2017
8 Reads

Laparoscopic ileopexy for afferent limb syndrome after ileal pouch-anal anastomosis.

Asian J Endosc Surg 2017 Nov 30;10(4):424-426. Epub 2017 Jun 30.

Departments of Gastrointestinal and Pediatric Surgery, Division of Reparative Medicine, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan.

Afferent limb syndrome (ALS) is caused by an obstruction of the afferent intestinal limb after ileal pouch-anal anastomosis. Here, we describe the first case of ALS to be successfully treated by a laparoscopic approach. A 27-year-old man underwent ileal pouch-anal anastomosis for ulcerative colitis. Read More

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http://doi.wiley.com/10.1111/ases.12386
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http://dx.doi.org/10.1111/ases.12386DOI Listing
November 2017
36 Reads

Laparoscopic revision of Billroth II with Braun anastomosis into Roux-en-Y anatomy in a patient with intestinal malrotation.

Surg Endosc 2018 01 22;32(1):511. Epub 2017 Jun 22.

Département de Chirurgie, Division de Chirurgie Bariatrique, Hôpital du Sacré-Coeur de Montréal, Université de Montréal, 5400 boul. Gouin ouest, Montreal, QC, H4J 1C5, Canada.

Introduction: Various reconstructions of the gastro-intestinal tract have been described in the past after distal gastrectomy. Among these, a Billroth II (BII) anastomosis can be performed with the addition of the Omega entero-enterostomy that may theoretically reduce the alkaline reflux. Given the significant complications associated with this procedure such as biliary reflux, marginal ulceration, and afferent loop syndrome, a revision into a Roux-en-Y anatomy is generally recommended. Read More

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http://dx.doi.org/10.1007/s00464-017-5666-yDOI Listing
January 2018
19 Reads

Early postoperative imaging after non-bariatric gastric resection: a primer for radiologists.

Insights Imaging 2017 Aug 19;8(4):393-404. Epub 2017 Jun 19.

Department of Radiology, "Luigi Sacco" University Hospital, Via G.B. Grassi 74, 20157, Milan, Italy.

Surgical resection represents the mainstay treatment and only potentially curative option for gastric carcinoma, and is increasingly performed laparoscopically. Furthermore, other tumours and selected cases of non-malignant disorders of the stomach may require partial or total gastrectomy. Often performed in elderly patients, gastric resection remains a challenging procedure, with significant morbidity (14-43% complication rate) and non-negligible postoperative mortality (approximately 3%). Read More

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http://dx.doi.org/10.1007/s13244-017-0559-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5519498PMC
August 2017
31 Reads

Endoscopic management of afferent loop syndrome caused by enteroliths and anastomotic stricture. A case report.

Rev Esp Enferm Dig 2017 Jun;109(6):457

Gastroenterology Department, Centro Hospitalar e Universitário de Coimbra.

Afferent loop syndrome (ALS) is a rare complication of Billroth-II gastrojejunostomy. Causes of afferent loop obstruction include adhesions, internal hernias, intestinal strictures or malignancy. Obstruction caused by enteroliths is rare and usually requires surgery. Read More

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June 2017
11 Reads

"Candy cane syndrome:" an underappreciated cause of abdominal pain and nausea after Roux-en-Y gastric bypass surgery.

Surg Obes Relat Dis 2017 Sep 8;13(9):1501-1505. Epub 2017 Apr 8.

Department of Surgery, Division of Bariatric Surgery. University Hospitals Case Medical Center, Cleveland, Ohio.

Background: "Candy cane" syndrome (a blind afferent Roux limb at the gastrojejunostomy) has been implicated as a cause of abdominal pain, nausea, and emesis after Roux-n-Y gastric bypass (RYGB) but remains poorly described.

Objectives: To report that "candy cane" syndrome is real and can be treated effectively with revisional bariatric surgery SETTING: All patients underwent "candy cane" resection at University Hospitals of Cleveland.

Methods: All patients who underwent resection of the "candy cane" between January 2011 and July 2015 were included. Read More

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http://dx.doi.org/10.1016/j.soard.2017.04.006DOI Listing
September 2017
12 Reads

Percutaneous Creation of a Gastrojejunal Bypass Anastomosis Using a Lumen-Apposing Stent to Treat Afferent Limb Syndrome.

J Vasc Interv Radiol 2017 06;28(6):896-897

Department of Medical Imaging, University Health Network, Toronto General Hospital, 585 University Ave., 1PMB-298, Toronto, ON, CanadaM5G 2N2.

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http://dx.doi.org/10.1016/j.jvir.2016.12.001DOI Listing
June 2017
2 Reads

Pancreaticoduodenectomy following gastrectomy reconstructed with Billroth II or Roux-en-Y method: Case series and literature review.

Int J Surg Case Rep 2017 18;35:106-109. Epub 2017 Apr 18.

Department of General Surgery, Kurashiki Central Hospital, 1-1-1, Miwa, Kurashiki, 710-8602,Okayama, Japan. Electronic address:

Introduction: The ideal reconstruction method for pancreaticoduodenectomy following a gastrectomy with Billroth II or Roux-en-Y reconstruction is unclear.

Methods: We reviewed a series of seven pancreaticoduodenectomies performed after gastrectomy with the Billroth II or Roux-en-Y method.

Results: While preserving the existing gastrojejunostomy or esophagojejunostomy, pancreaticojejunostomy and hepaticojejunostomy were performed by the Roux-en-Y method using a new Roux limb in all cases. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612173019
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http://dx.doi.org/10.1016/j.ijscr.2017.04.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5424949PMC
April 2017
7 Reads

Postgastrectomy Syndromes and Nutritional Considerations Following Gastric Surgery.

Surg Clin North Am 2017 Apr;97(2):277-293

Surgical Oncology Section, Thoracic & Gastrointestinal Oncology Branch, National Cancer Institute, 10 Center Drive, MSC1201, Room 4-3940, Bethesda, MD 20892, USA.

Postgastrectomy syndromes result from altered form and function of the stomach. Gastrectomy disrupts reservoir capacity, mechanical digestion and gastric emptying. Early recognition of symptoms with prompt evaluation and treatment is essential. Read More

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http://dx.doi.org/10.1016/j.suc.2016.11.005DOI Listing
April 2017
10 Reads

[Endoscopic Stent Placement to Alleviate Afferent Loop Syndrome Following Recurrence of Pancreatic Cancer].

Gan To Kagaku Ryoho 2016 Nov;43(12):2190-2192

Dept. of Surgery, Osaka Rosai Hospital.

We report a case of endoscopic stent placement to alleviate afferent loop syndrome following recurrence of pancreatic cancer. A 73-year-old man who had undergone pancreatic duodenectomy with portal vein resection for pancreatic cancer had developed a local recurrence and was treated with chemotherapy. He developed a high-grade fever and general fatigue, and laboratory data revealed anemia and a high inflammatory reaction; therefore, he was admitted to our hospital. Read More

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November 2016
9 Reads

[Afferent Loop Syndrome after Hepatobiliary and Pancreatic Surgery Successfully Treated with Percutaneous Drainage].

Gan To Kagaku Ryoho 2016 Nov;43(12):1896-1898

Dept. of Surgery, Toyonaka Municipal Hospital.

We report 2 cases where afferent loop syndrome after hepatobiliary and pancreatic surgery was successfully treated with percutaneous drainage. Case 1: A 74-year-old man who had undergone pancreaticoduodenectomy for pancreatic cancer presented with cholangitis, obstructive jaundice, and dilatation of the elevated jejunum. These conditions were attributed to obstruction of the elevated jejunum on the anal side due to peritoneal dissemination. Read More

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November 2016
9 Reads

Short- and long-term outcomes after pancreaticoduodenectomy following total gastorectomy: Report of case series and literature review.

Int J Surg Case Rep 2017 27;30:118-121. Epub 2016 Nov 27.

Department of General Surgery, Faculty of Medicine, Cairo University, Al-Saray Street, El Manial, Cairo 11956, Egypt.

Purpose: Pancreaticoduodenectomy (PD) following gastrectomy (TG) should be considered challenging even currently although its procedure and clinical value have been being standardized. Short- and long-term outcomes as well as standard reconstruction method following these procedures remain unclear. In order to clarify these issues, we reviewed worldwide English literature and 4 of our own cases of PD for patients with previous TG. Read More

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http://dx.doi.org/10.1016/j.ijscr.2016.11.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5192014PMC
November 2016
12 Reads

The long road to leptin.

Authors:
Jeffrey Friedman

J Clin Invest 2016 12 1;126(12):4727-4734. Epub 2016 Dec 1.

Leptin is an adipose tissue hormone that functions as an afferent signal in a negative feedback loop that maintains homeostatic control of adipose tissue mass. This endocrine system thus serves a critical evolutionary function by protecting individuals from the risks associated with being too thin (starvation) or too obese (predation and temperature dysregulation). Mutations in leptin or its receptor cause massive obesity in mice and humans, and leptin can effectively treat obesity in leptin-deficient patients. Read More

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http://dx.doi.org/10.1172/JCI91578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127673PMC
December 2016
6 Reads

Afferent loop syndrome in a patient having incomplete annular pancreas.

BJR Case Rep 2017 3;3(1):20160015. Epub 2016 Sep 3.

Department of Radiodiagnosis, St. John's Medical College, Bangalore, India.

Afferent loop syndrome is a rare complication following a Billroth II procedure and is seen in 3/1000 cases. This case report shows the importance of radiological imaging in a patient with a past history of abdominal surgery, for which no records were available. Imaging showed incomplete annular pancreas, leading to narrowing of the second part of the duodenum, which was the indication for gastrojejunostomy in the past, now presenting with features of afferent loop syndrome. Read More

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http://dx.doi.org/10.1259/bjrcr.20160015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159289PMC
September 2016
2 Reads

Afferent Loop Syndrome after Roux-en-Y Total Gastrectomy Caused by Volvulus of the Roux-Limb.

Case Rep Surg 2016 26;2016:4930354. Epub 2016 Jun 26.

Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu, Chiba 279-0001, Japan.

Afferent loop syndrome is a rare complication of gastric surgery. An obstruction of the afferent limb can present in various ways. A 73-year-old man presented with one day of persistent abdominal pain, gradually radiating to the back. Read More

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http://dx.doi.org/10.1155/2016/4930354DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4939196PMC
July 2016
11 Reads

RE: Afferent Loop Syndrome: A Rare Clinical Condition Diagnosed with Magnetic Resonance Cholangiopancreatography.

Korean J Radiol 2016 May-Jun;17(3):443. Epub 2016 Apr 14.

Department of Radiology, GATA Haydarpasa Teaching Hospital, Uskudar 34668, Istanbul, Turkey.

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http://dx.doi.org/10.3348/kjr.2016.17.3.443DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4842863PMC
January 2018
9 Reads

[A Case of Acute Afferent Loop Obstruction after Total Gastrectomy, Successfully Managed by Endoscopic Treatment].

Gan To Kagaku Ryoho 2015 Nov;42(12):2027-9

Dept. of Surgery, Kurashiki Medical Center.

The patient was a 76-year-old man who had 3 times previously undergone laparotomies, including distal gastrectomy with a Billroth Ⅰ operation. In the current case, a total gastrectomy, end-to-side esophagojejunostomy, and a Roux-en-Y anastomosis for adenocarcinoma of the remnant stomach were performed. On postoperative day (POD) 7, he complained of epigastralgia. Read More

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November 2015
11 Reads

[Percutaneous Transhepatic Cholangiodrainage to Alleviate Symptoms of Afferent Loop Obstruction--A Case Report].

Gan To Kagaku Ryoho 2015 Nov;42(12):1556-8

Dept. of Surgery, Osaka Ekisaikai Hospital.

The patient, a 78-year-old man, had undergone distal gastrectomy for a gastric ulcer 35 years previously. As melena was observed, he was referred to our department, and was subsequently diagnosed with residual gastric cancer and ascending colon cancer. Peritoneal metastasis of gastric cancer was found, and palliative surgeries, including right hemicolectomy, total gastrectomy, and Roux-en-Y reconstruction were performed. Read More

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November 2015
11 Reads

Efficacy of Endoscopically Created Bypass Anastomosis in Treatment of Afferent Limb Syndrome: A Single-Center Study.

Clin Gastroenterol Hepatol 2016 Apr 7;14(4):633-7. Epub 2015 Dec 7.

Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina. Electronic address:

Afferent limb syndrome is a postoperative complication of gastrointestinal surgery, resulting from obstruction of a biliary-enteric limb. Surgery has been the cornerstone of treatment for this condition, but advances in endoscopic and percutaneous techniques could offer less-invasive options. Creation of an internal endoscopic anastomosis between the obstructed afferent limb and an adjacent gastrointestinal lumen can relieve symptoms and might provide a long-term solution. Read More

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http://dx.doi.org/10.1016/j.cgh.2015.11.010DOI Listing
April 2016
14 Reads
3 Citations
7.900 Impact Factor

[SHORT BOWEL SYNDROME AND NUTRITIONAL ENTERAL].

Nutr Hosp 2015 Dec 1;32(6):2958-60. Epub 2015 Dec 1.

Unidad de Nutrición Clínica y Dietética, Servicio de Endocrinología y Nutrición, Hospital Universitario Virgen del Rocío, Sevilla..

The particularity of this case is the nutritional management that has managed to avoid the use of prolonged parenteral nutrition and possible complications by placing jejunal tube at the distal end in patients with short bowel. It is a 34-year-old colecistectomizado complicated with postoperative peritonitis and dehiscence; two years he studied with small bowel obstruction, he was made de-volvulus and was complicated with two leak at different times after the second escape took place jejunostomy side double barreled shotgun level dehiscence, presented high debits by afferent loop of the terminal jejunostomy; during admission, polyurethane probe enteral feeding was inserted by the efferent loop jejunostomy. He received jejunal tube feeding laundry in the efferent loop terminal with decreased weight gain and subsequent reconstruction of intestinal transit debit proximal jejunostomy. Read More

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http://dx.doi.org/10.3305/nh.2015.32.6.9739DOI Listing
December 2015
25 Reads

Imaging the postoperative patient: long-term complications of gastrointestinal surgery.

Insights Imaging 2016 Feb 5;7(1):7-20. Epub 2015 Dec 5.

Medical Imaging Department, Coimbra Hospital and University Centre, Coimbra, Portugal.

Objectives: The objectives of this review are (1) to become acquainted with the long-term complications of surgery of the gastrointestinal tract, and (2) to appreciate the appropriate use of imaging in the assessment of long-term complications.

Background: Gastrointestinal tract surgery comprises a group of procedures performed for a variety of both benign and malignant diseases. In the late postoperative setting, adhesions and internal hernias are the most important complications. Read More

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http://link.springer.com/content/pdf/10.1007%2Fs13244-015-04
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http://link.springer.com/10.1007/s13244-015-0451-8
Publisher Site
http://dx.doi.org/10.1007/s13244-015-0451-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4729712PMC
February 2016
10 Reads

Effects of adding Braun jejunojejunostomy to standard Whipple procedure on reduction of afferent loop syndrome - a randomized clinical trial.

Can J Surg 2015 Dec;58(6):383-8

From the Department of Surgery, Tabriz University of medical sciences, Imam Reza Hospital, Tabriz, Iran (Kakaei, Beheshtirouy, Rashidi, Asvadi, Habibzadeh, Oliaei-Motlagh); and the Department of Surgery, Shahid Beheshti University of Medical Sciences, Ayatollah Taleghani Hospital, Evin, Tehran, Iran (Nejatollahi).

Background: Whipple surgery (pancreaticodeudenectomy) has a high complication rate. We aimed to evaluate whether adding Braun jejunojejunostomy (side-to-side anastomosis of afferent and efferent loops distal to the gastrojejunostomy site) to a standard Whipple procedure would reduce postoperative complications.

Methods: We conducted a randomized clinical trial comparing patients who underwent standard Whipple surgery (standard group) and patients who underwent standard Whipple surgery with Braun jejunojejunostomy (Braun group). Read More

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http://search.proquest.com/openview/71a33280d1432b2b58af2424
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4651689PMC
December 2015
42 Reads

Endoscopic ultrasound-guided gastroenterostomy using a lumen-apposing self-expanding metal stent for decompression of afferent loop obstruction.

Endoscopy 2015 14;47 Suppl 1 UCTN:E395-6. Epub 2015 Aug 14.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1392564
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http://dx.doi.org/10.1055/s-0034-1392564DOI Listing
May 2016
10 Reads

Acute afferent loop syndrome in the early postoperative period following pancreaticoduodenectomy.

Ann R Coll Surg Engl 2015 Jul;97(5):349-53

Royal Surrey County Hospital NHS Foundation Trust , UK.

Introduction: Afferent loop syndrome (ALS) is a recognised complication of foregut surgery caused by mechanical obstruction at the gastrojejunostomy anastomosis itself or at a point nearby. Acute ALS has only been reported following pancreaticoduodenectomy (PD) after several years due to recurrence of malignancy at the anastomotic site. We report five cases of acute ALS in the first postoperative week. Read More

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http://dx.doi.org/10.1308/003588414X14055925061036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5096581PMC
July 2015
6 Reads

Endoscopic metal enteral stent placement for malignant afferent loop syndrome after pancreaticoduodenectomy.

Wideochir Inne Tech Maloinwazyjne 2015 Jul 28;10(2):257-65. Epub 2015 May 28.

Department of Pancreatic Surgery, Huashan Hospital, Fudan University, Shanghai, China.

Introduction: Afferent loop syndrome (ALS) is a rare and dreaded complication after pancreaticoduodenectomy (PD). Malignant ALS after PD is usually difficult to manage due to patients' poor condition. Effective and safe therapeutic strategies for these patients are reported scarcely at present. Read More

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http://dx.doi.org/10.5114/wiitm.2015.51867DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520836PMC
July 2015
9 Reads

Laparoscopic Revision of an Omega Loop Gastric Bypass to Treat Afferent Loop Syndrome.

Obes Surg 2015 Oct;25(10):1976-8

Department of General Surgery, CHU Hospital, Jean Monnet University, Avenue Albert Raimond, 42270, Saint Etienne, France,

The omega loop gastric bypass (OLGB) has become a very commonly performed bariatric procedure because of the advantages it carries over the Roux en Y gastric bypass (RYGBP). However, mini gastric bypass is a misnomer, as this procedure is more malabsorptive than the RYGBP. Recently, it is called single or one anastomosis gastric bypass. Read More

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http://dx.doi.org/10.1007/s11695-015-1805-5DOI Listing
October 2015
3 Reads
3.750 Impact Factor

Treatment of afferent limb syndrome: novel approach with endoscopic ultrasound-guided creation of a gastrojejunostomy fistula and placement of lumen-apposing stent.

Endoscopy 2015 26;47 Suppl 1 UCTN:E309-10. Epub 2015 Jun 26.

Department of Digestive and Liver Diseases, Columbia University Medical Center, New York, United States.

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https://www.thieme-connect.com/products/ejournals/pdf/10.105
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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1392210
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http://dx.doi.org/10.1055/s-0034-1392210DOI Listing
March 2016
5 Reads

Late Onset Remnant Gastric Cancer with Afferent Loop Syndrome 47 Years after Billroth II Surgery.

Case Rep Surg 2015 10;2015:730897. Epub 2015 May 10.

General Surgery Department, Mersin University, 33050 Mersin, Turkey.

Remnant gastric cancer is a rare clinical entity. Herein we describe a patient with remnant gastric cancer that presented with afferent loop syndrome 47 years after Billroth II surgery. Symptoms of serious bilious vomiting were an indication to perform early endoscopic diagnosis, followed by complete gastric resection. Read More

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http://dx.doi.org/10.1155/2015/730897DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441990PMC
June 2015
4 Reads

Role of percutaneous transhepatic biliary drainage in patients with complications after gastrectomy.

Int Surg 2015 May 29. Epub 2015 May 29.

a Dong-A University College of Medicine, Busan, 602-715, Korea, Republic of.

Objective: The aim of this study was to elucidate the role of PTBD in patients with DSL and ALS post-gastrectomy for malignancy or benign ulcer perforation.

Summary Of Background Data: Percutaneous transhepatic biliary drainage (PTBD) is an interventional radiologic procedure used to promote bile drainage. Duodenal stump leakage (DSL) and afferent loop syndrome (ALS) can be serious complications after gastrectomy. Read More

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http://dx.doi.org/10.9738/INTSURG-D-15-00117.1DOI Listing
May 2015
10 Reads

[Two cases of afferent loop syndrome caused by obstruction at the jejuno-jejunostomy site in the Roux-en-Y loop that were successfully treated by endoscopic balloon dilatation].

Gan To Kagaku Ryoho 2014 Nov;41(12):2322-5

Dept. of Surgery, Kinki University Faculty of Medicine.

We report 2 rare cases of afferent loop syndrome caused by obstruction at the jejuno-jejunostomy site in the Roux-en-Y loop after total gastrectomy, which was successfully treated by endoscopic balloon dilatation of the anastomotic stenosis. Case 1: A 62-year-old woman presented with malaise and lower abdominal distension 6 months after laparoscopy-assisted total gastrectomy with Roux-en-Y reconstruction. She was diagnosed with afferent loop syndrome; CT imaging indicated marked dilatation of the afferent loop, with membranous obstruction at the jejuno-jejunostomy site in the Roux-en-Y loop. Read More

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November 2014
8 Reads

[Usefulness of the retrograde intraduodenal drainage tube for severe duodenum-related complications of gastrectomy for gastric cancer].

Gan To Kagaku Ryoho 2014 Nov;41(12):1551-3

Dept. of Surgery, Division of Digestive Surgery, Kyoto Prefectural University of Medicine.

No ideal or generally accepted treatment strategy has been established for severe duodenum-related complications of gastrectomy for gastric cancer. Between 1997 and 2012, we successfully treated 5 patients with such complications using the retrograde intraduodenal drainage tube. Of the patients, 3 had anastomotic leakage of the duodenal stump, 1 had an intestinal injury, and 1 had the afferent loop syndrome. Read More

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November 2014
6 Reads

Percutaneous drainage for afferent limb syndrome and pancreatic fistula via the blind end of the jejunal limb after pancreatoduodenectomy or bile duct resection.

J Vasc Interv Radiol 2015 Apr 19;26(4):566-72. Epub 2015 Jan 19.

Department of Radiology, Aichi Medical University, Nagakute, Japan.

Purpose: To investigate the feasibility of percutaneous drainage via the blind end of the jejunal limb (BEJL) for afferent limb syndrome and pancreatic fistula.

Materials And Methods: Percutaneous drainage via the BEJL was performed in eight patients (seven men and one woman; mean age, 63 y; range, 42-71 y) presenting with afferent limb syndrome (n = 6) or pancreatic fistula (n = 2) following pancreatoduodenectomy or bile duct resection with reconstruction at our institute from March 2005 to June 2013. Reconstruction was performed by using a modified Child method or the Roux-en-Y method, and the BEJL was surgically fixed to the abdominal wall. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10510443140107
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http://dx.doi.org/10.1016/j.jvir.2014.11.010DOI Listing
April 2015
16 Reads

[THE DIGESTIVE TRACT MOTILITY AND NUTRITIONAL SUPPORT WITH POSTGASTRORESECTIONAL SYNDROME].

Eksp Klin Gastroenterol 2015 (8):25-9

The variety of clinical manifestations operated stomach fits in the sequence of pathological syndromes: dumping and hypoglycemic syndromes, postgastroresectional post gastrectomy anemia, afferent loop syndrome, postoperative dystrophy, reflux esophagitis, a syndrome of "small" stomach, and hypoglycemic syndrome. Aim--to elucidate the role of disorders of motor function of the gastrointestinal tract in postgastroresectional syndromes and their correction. The nutrient administration reduced a motor function level of the stomach, restore motor function of the duodenum and ascending colon intestine, normalize ino- and chronotropic relations in the smooth muscles of the sigmoid colon. Read More

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April 2016
4 Reads

Enterolithiasis.

World J Gastroenterol 2014 Dec;20(47):17819-29

Grigoriy E Gurvits, Division of Gastroenterology, New York University School of Medicine/Langone Medical Center, New York, NY 10016, United States.

Enterolithiasis or formation of gastrointestinal concretions is an uncommon medical condition that develops in the setting of intestinal stasis in the presence of the intestinal diverticula, surgical enteroanastomoses, blind pouches, afferent loops, incarcerated hernias, small intestinal tumors, intestinal kinking from intra-abdominal adhesions, and stenosing or stricturing Crohn's disease and intestinal tuberculosis. Enterolithiasis is classified into primary and secondary types. Its prevalence ranges from 0. Read More

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http://dx.doi.org/10.3748/wjg.v20.i47.17819DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4273132PMC
December 2014
33 Reads

Percutaneous jejunostomy through the liver parenchyma for palliation of afferent loop syndrome.

Jpn J Radiol 2015 Jan 30;33(1):39-42. Epub 2014 Nov 30.

Department of Radiology, Dongguk University Ilsan Hospital, 814 Siksa-dong, Ilsandong-gu, Goyang-si, Gyeonggi-do, 410-773, South Korea,

In the treatment of afferent loop syndrome, jejunostomy or Roux-en-Y gastrojejunostomy have tended to represent the preferred procedures. In patients who are not good candidates for surgery, palliative treatment-i.e. Read More

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http://dx.doi.org/10.1007/s11604-014-0372-3DOI Listing
January 2015
6 Reads