512 results match your criteria Afferent Loop Syndrome


Endoscopic GI anastomosis: a review of established techniques.

Gastrointest Endosc 2020 Jun 25. Epub 2020 Jun 25.

Division of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland. Electronic address:

Technological advancements in the field of therapeutic endoscopy have led to the development of minimally invasive techniques to create a gastrointestinal anastomosis without requiring surgery. Examples of the potential clinical applications of these novel endoscopic techniques can be bypassing malignant and benign gastric outlet obstruction, providing access to the pancreatobiliary tree in those who have undergone Roux-en-Y gastric bypass and to relieve pancreatobilliary symptoms in afferent loop syndrome. Endoscopic gastrointestinal anastomosis is less invasive and expensive than surgical approaches, which may be more appealing to patients and result in improved outcomes. Read More

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http://dx.doi.org/10.1016/j.gie.2020.06.057DOI Listing

König's Syndrome After Roux-en-Y Gastric Bypass: Candy Cane Twist.

Obes Surg 2020 Aug;30(8):3251-3252

Department of General and Digestive Surgery, Bariatric Surgery Unit, Poissy Saint Germain-en-laye, Saint Germain-en-laye, France.

Background: A König's syndrome is referred to abdominal pain in relation to meals with constipation alternated with diarrhea, meteorism, and abdominal distension. A postoperative long-term complication after Roux-en-Y gastric bypass could be the appearance of chronic abdominal pain associated with vomiting, dysphagia, and nausea.

Case Report: A 43-year-old female patient was submitted for a Roux-en-Y gastric bypass for morbid obesity with an initial body mass index (BMI) of 36 kg/m (weight 100 kg, height 168 cm). Read More

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http://dx.doi.org/10.1007/s11695-020-04563-8DOI Listing
August 2020
3.747 Impact Factor

A "Kissing-Stents" Technique in the Management of Afferent Limb Syndrome With Concomitant Efferent Limb Obstruction in a Patient With Gastric Cancer and Billroth II Anatomy.

ACG Case Rep J 2020 Jan 7;7(1):e00266. Epub 2020 Jan 7.

Department of Medicine, Harvard Medical School, Boston, MA.

The "kissing-stents" technique has been used in endovascular interventions for the management of aortic and arterial stenosis at bifurcation sites. However, to our knowledge, the use of this technique to prevent stent migration in endoscopy has not been described to date. We present a 65-year-old man with metastatic gastric adenocarcinoma status post-Billroth II gastrojejunostomy complicated by simultaneous afferent and efferent limb syndrome with gastric outlet obstruction and biliary dilatation. Read More

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http://dx.doi.org/10.14309/crj.0000000000000266DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145159PMC
January 2020

Single-step EUS-guided jejunojejunostomy with a lumen-apposing metal stent as treatment for malignant afferent limb syndrome.

VideoGIE 2020 Apr 6;5(4):154-156. Epub 2020 Feb 6.

Endoscopy Service, Department of Diagnostic and Therapeutic Services, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione, Palermo, Italy.

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http://dx.doi.org/10.1016/j.vgie.2019.12.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7125391PMC

Lower peripouch fat area is related with increased frequency of pouch prolapse and floppy pouch complex in inflammatory bowel disease patients.

Int J Colorectal Dis 2020 Apr 4;35(4):665-674. Epub 2020 Feb 4.

Department of Colorectal Surgery, The Cleveland Clinic Foundation, Cleveland, OH, USA.

Background: Pouch prolapse is a rare pouch complication which often leads to pouch failure in inflammatory bowel disease (IBD) patients. Its exact cause remains unknown. Floppy pouch complex (FPC) was defined as the presence of any one of the following pouch disorders: pouch prolapse, afferent limb syndrome (ALS), redundant loop, and pouch folding. Read More

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http://dx.doi.org/10.1007/s00384-019-03469-xDOI Listing

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

BMJ Case Rep 2020 Jan 5;13(1). Epub 2020 Jan 5.

General Surgery, Hospital and University Centre of Coimbra, Coimbra, Portugal.

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. Read More

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http://dx.doi.org/10.1136/bcr-2019-232498DOI Listing
January 2020

[Vitamin K deficiency caused by nutritional malabsorption accompanying afferent loop obstruction:a case report].

Nihon Shokakibyo Gakkai Zasshi 2019 ;116(12):1022-1029

Digestive disease Center, Department of Gastroenterology and Hepatology, Kyoto Katsura Hospital.

This case involves a 73-year-old man who visited a clinic because he was experiencing dyspnea on exertion and acid reflux. He was diagnosed with anemia and referred for a medical check-up and treatment by his primary care physician. Iron deficiency anemia and prolonged prothrombin time were confirmed with a blood test and an abdominal enhanced CT revealed marked expansion of the afferent loop after a gastrectomy. Read More

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http://dx.doi.org/10.11405/nisshoshi.116.1022DOI Listing
December 2019

Endoscopic electrohydraulic lithotripsy of an enterolith causing afferent loop syndrome after Whipple's operation.

Endoscopy 2020 May 2;52(5):E176-E177. Epub 2019 Dec 2.

Division of gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.

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http://dx.doi.org/10.1055/a-1046-1845DOI Listing

EUS-guided enteroenterostomy for nonoperative management of afferent loop syndrome after Whipple resection.

VideoGIE 2019 Oct 13;4(10):461-463. Epub 2019 Aug 13.

Department of Gastroenterology and Hepatology, Liverpool Hospital and University of New South Wales, Sydney, Australia.

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http://dx.doi.org/10.1016/j.vgie.2019.07.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831908PMC
October 2019
10 Reads

Pouch wall thickness and floppy pouch complex.

Surg Endosc 2019 Oct 24. Epub 2019 Oct 24.

Center for Inflammatory Bowel Disease, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.

Background: Floppy pouch complex (FPC) consists of disease phenotypes in patients with ileal pouches, including pouch prolapse, afferent limb syndrome, enterocele, redundant loop, and pouch folding. Our recent study demonstrated that lower body weight, lower peripouch fat, family history of inflammatory bowel disease (IBD), female gender, and dyschezia are risk factors for FPC patients with IBD. The aims of this study were to assess the relationship between pouch wall thickness and FPC, and to investigate the association between inflamed and non-inflamed pouch wall thickness. Read More

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http://dx.doi.org/10.1007/s00464-019-07196-wDOI Listing
October 2019

Afferent Loop Syndrome Due to Volvulus of the Afferent Limb.

ACG Case Rep J 2019 Jul 18;6(7):e00123. Epub 2019 Jul 18.

Department of Gastroenterology, Montefiore Medical Center, Bronx, NY.

A 78-year-old woman with a history of stage IIB gastric adenocarcinoma with previous Billroth II subtotal gastrectomy was admitted with pancreatitis, with subsequent development of fevers and acute jaundice. Transabdominal ultrasound demonstrated bile duct obstruction. An endoscopic retrograde cholangiopancreatography was attempted, but the lumen of the afferent limb appeared distorted without an obstructing lesion. Read More

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http://dx.doi.org/10.14309/crj.0000000000000123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722374PMC
July 2019
1 Read

Treatment of afferent loop syndrome using digital cholangioscopy through the percutaneous transhepatic biliary drainage route.

Endoscopy 2020 02 17;52(2):E71-E72. Epub 2019 Sep 17.

Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

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http://dx.doi.org/10.1055/a-0999-5204DOI Listing
February 2020

Endoscopic nasogastric tube insertion for treatment of benign afferent loop obstruction after radical gastrectomy for gastric cancer: A 16-year retrospective single-center study.

Medicine (Baltimore) 2019 Jul;98(28):e16475

Department of Digestion.

Afferent loop obstruction is an uncommon complication associated with Billroth-II distal gastrectomy. Inappropriate treatment may result in life-threatening events as perforation and peritonitis. For the benign afferent loop obstruction, Braun or Roux-en-Y reconstruction has been reported as the choice. Read More

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http://dx.doi.org/10.1097/MD.0000000000016475DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6641837PMC
July 2019
6 Reads

Afferent loop syndrome of 10 years' onset after gastrectomy.

Asian J Surg 2019 10 10;42(10):935-937. Epub 2019 Jul 10.

Emergency and Critical Care Center, Kurashiki Central Hospital, Japan.

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http://dx.doi.org/10.1016/j.asjsur.2019.06.008DOI Listing
October 2019
4 Reads
0.758 Impact Factor

Retrospective cohort study of 925 OAGB procedures. The UK MGB/OAGB collaborative group.

Int J Surg 2019 Sep 9;69:13-18. Epub 2019 Jul 9.

King's College Hospitals, London, United Kingdom; Chelsfield Park Hospital, United Kingdom.

Background: Mini-One Anastomosis Gastric Bypass is a new operation that provides comparable outcomes to the common bariatric procedures. Revisional surgery is still needed after a number of MGB-OAGB procedures. The aim of this study is to report the causes and management of these revisions. Read More

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http://dx.doi.org/10.1016/j.ijsu.2019.07.003DOI Listing
September 2019
5 Reads

Comparative analysis of afferent loop obstruction between laparoscopic and open approach in pancreaticoduodenectomy.

J Hepatobiliary Pancreat Sci 2019 Oct 1;26(10):459-466. Epub 2019 Aug 1.

Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, South Korea.

Background: Afferent loop obstruction (ALO) is a rare mechanical complication of pancreaticoduodenectomy (PD) and is associated with a high rate of morbidity and mortality.

Methods: Data from patients who underwent PD between May 2007 and July 2017 at a single large-volume center were retrospectively reviewed.

Results: Of the 3,223 patients who underwent PD, 67 developed ALO. Read More

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http://dx.doi.org/10.1002/jhbp.656DOI Listing
October 2019
4 Reads

Endoscopic ultrasound-guided management of malignant afferent loop syndrome after gastric bypass: from diagnosis to therapy.

Endoscopy 2020 Mar 1;52(3):E84-E85. Epub 2019 Jul 1.

Department of Hepatogastroenterology, Assistance Publique des Hôpitaux de Marseille, Aix-Marseille Université, Hôpital Nord, Marseille, France.

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http://dx.doi.org/10.1055/a-0948-5033DOI Listing
March 2020
8 Reads

Endoscopic ultrasound-guided gastrojejunostomy using fully covered metal stent combined with large-loop double-pigtail stent for malignant afferent loop syndrome.

Endoscopy 2019 10 23;51(10):E303-E304. Epub 2019 May 23.

Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.

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http://dx.doi.org/10.1055/a-0916-8532DOI Listing
October 2019
5 Reads

Endoscopic ultrasound-guided gastrojejunostomy using a 2-cm lumen-apposing metal stent to treat benign afferent loop syndrome.

Endoscopy 2019 07 12;51(7):695-696. Epub 2019 Apr 12.

Gastroenterology/Internal Medicine, SHARP Grossmont Hospital, San Diego, California, United States.

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http://dx.doi.org/10.1055/a-0875-3594DOI Listing
July 2019
5 Reads

Characterization of risk factors for floppy pouch complex in ulcerative colitis.

Int J Colorectal Dis 2019 Jun 11;34(6):1061-1067. Epub 2019 Apr 11.

Center for Inflammatory Bowel Disease, Digestive Disease and Surgery Institute-A31, The Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH, 44195, USA.

Background: Restorative proctocolectomy with ileal pouch-anal anastomosis can be associated with a variety of complications, including floppy pouch complex (FPC). FPC is defined as the presence of pouch prolapse, afferent limb syndrome, enterocele, redundant loop, and folding pouch on pouchoscopy or contrasted pouchogram. The main symptoms of patients with FPC are dyschezia, incomplete evacuation, and bloating. Read More

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http://dx.doi.org/10.1007/s00384-019-03282-6DOI Listing
June 2019
8 Reads

Endoscopic ultrasound-guided gastroenterostomy using a metal stent for the treatment of afferent loop syndrome.

Endoscopy 2019 06 1;51(6):E153-E155. Epub 2019 Apr 1.

Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan.

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http://dx.doi.org/10.1055/a-0861-9821DOI Listing
June 2019
6 Reads

[Two Cases of Afferent Loop Obstruction Treated with Percutaneous Bowel Drainage(PBD)].

Gan To Kagaku Ryoho 2019 Feb;46(2):389-391

Dept. of Surgery, Kurume University School of Medicine.

Here, we report our experiences with 2 cases of afferent loop obstruction with percutaneous bowel drainage(PBD)and present a review of the literature. Case 1 involved a 60-year-old woman. She underwent pancreaticoduodenectomy for pancreatic cancer. Read More

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February 2019
9 Reads

Magnetic resonance cholangiopancreatography for afferent loop syndrome.

Clin Case Rep 2019 Mar 7;7(3):591-592. Epub 2019 Feb 7.

Department of Gastroenterology and Medicine Fukuoka University Faculty of Medicine Fukuoka Japan.

Afferent loop syndrome (ALS) is a rare but serious complication after gastrectomy. When a patient is diagnosed with ALS using computed tomography, magnetic resonance cholangiopancreatography may help in delineating the exact cause of ALS and determining an appropriate management. Read More

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http://dx.doi.org/10.1002/ccr3.2045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406143PMC
March 2019
5 Reads

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
9 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
15 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
43 Reads

Successful endoscopic management of efferent loop syndrome after Billroth II distal gastrectomy.

BMJ Case Rep 2018 Nov 5;2018. Epub 2018 Nov 5.

Department of Surgery, NYU Langone Hospital - Brooklyn, Brooklyn, New York, USA.

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22716
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http://dx.doi.org/10.1136/bcr-2018-227167DOI Listing
November 2018
23 Reads

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

Surg Endosc 2019 08 23;33(8):2572-2582. 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
August 2019
27 Reads

Double pigtail stents healed acute pancreatitis resulting from afferent loop obstruction.

Turk J Gastroenterol 2018 11;29(6):705-707

Hepatopancreatobiliary Surgery Institute of Gansu Province, Clinical Medical College Cancer Center of Lanzhou University, Lanzhou, China; The Fifth General Surgery Department, The First Hospital of Lanzhou University, Lanzhou, China.

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http://www.turkjgastroenterol.org/eng/makale/5413/310/Full-T
Publisher Site
http://dx.doi.org/10.5152/tjg.2018.17685DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284688PMC
November 2018
12 Reads

Successful emergency endoscopic drainage for afferent limb syndrome-induced severe acute cholangitis in a patient with altered Roux-en Y anatomy.

Dig Endosc 2018 11 22;30(6):802-803. Epub 2018 Aug 22.

Center for Gastroenterology, Teine-Keijinkai Hospital, Sapporo, Japan.

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http://dx.doi.org/10.1111/den.13241DOI Listing
November 2018
6 Reads

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

Surg Endosc 2019 02 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
25 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
40 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
11 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
10 Reads

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
7 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
52 Reads

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

J Chem Neuroanat 2018 04 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
41 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
24 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
14 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
77 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
28 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
58 Reads

Acute Pancreatitis After Pancreaticoduodenectomy.

JAMA Surg 2017 08;152(8):795-796

Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.

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http://dx.doi.org/10.1001/jamasurg.2017.1597DOI Listing
August 2017
5 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
15 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
28 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
6 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
9 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
18 Reads