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

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. He had a history of total gastrectomy with a Roux-en-Y reconstruc...

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Main Authors: Hideki Katagiri, Kana Tahara, Kentaro Yoshikawa, Alan Kawarai Lefor, Tadao Kubota, Ken Mizokami
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2016/4930354
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author Hideki Katagiri
Kana Tahara
Kentaro Yoshikawa
Alan Kawarai Lefor
Tadao Kubota
Ken Mizokami
author_facet Hideki Katagiri
Kana Tahara
Kentaro Yoshikawa
Alan Kawarai Lefor
Tadao Kubota
Ken Mizokami
author_sort Hideki Katagiri
collection DOAJ
description 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. He had a history of total gastrectomy with a Roux-en-Y reconstruction. Abdominal computed tomography scan revealed dilation of the duodenum and small intestine in the left upper quadrant. Exploratory laparotomy showed volvulus of the biliopancreatic limb that caused afferent loop syndrome. In this patient, the 50 cm long limb was the cause of volvulus. It is important to fashion a Roux-limb of appropriate length to prevent this complication.
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institution Kabale University
issn 2090-6900
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language English
publishDate 2016-01-01
publisher Wiley
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series Case Reports in Surgery
spelling doaj-art-c6f673f4a50b4f1d9d991cfddf03e53d2025-02-03T07:25:32ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/49303544930354Afferent Loop Syndrome after Roux-en-Y Total Gastrectomy Caused by Volvulus of the Roux-LimbHideki Katagiri0Kana Tahara1Kentaro Yoshikawa2Alan Kawarai Lefor3Tadao Kubota4Ken Mizokami5Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu, Chiba 279-0001, JapanDepartment of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu, Chiba 279-0001, JapanDepartment of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu, Chiba 279-0001, JapanDepartment of Surgery, Jichi Medical University, 1-3311 Yakushiji, Shimotsuke, Tochigi Prefecture 329-0498, JapanDepartment of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu, Chiba 279-0001, JapanDepartment of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu, Chiba 279-0001, JapanAfferent 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. He had a history of total gastrectomy with a Roux-en-Y reconstruction. Abdominal computed tomography scan revealed dilation of the duodenum and small intestine in the left upper quadrant. Exploratory laparotomy showed volvulus of the biliopancreatic limb that caused afferent loop syndrome. In this patient, the 50 cm long limb was the cause of volvulus. It is important to fashion a Roux-limb of appropriate length to prevent this complication.http://dx.doi.org/10.1155/2016/4930354
spellingShingle Hideki Katagiri
Kana Tahara
Kentaro Yoshikawa
Alan Kawarai Lefor
Tadao Kubota
Ken Mizokami
Afferent Loop Syndrome after Roux-en-Y Total Gastrectomy Caused by Volvulus of the Roux-Limb
Case Reports in Surgery
title Afferent Loop Syndrome after Roux-en-Y Total Gastrectomy Caused by Volvulus of the Roux-Limb
title_full Afferent Loop Syndrome after Roux-en-Y Total Gastrectomy Caused by Volvulus of the Roux-Limb
title_fullStr Afferent Loop Syndrome after Roux-en-Y Total Gastrectomy Caused by Volvulus of the Roux-Limb
title_full_unstemmed Afferent Loop Syndrome after Roux-en-Y Total Gastrectomy Caused by Volvulus of the Roux-Limb
title_short Afferent Loop Syndrome after Roux-en-Y Total Gastrectomy Caused by Volvulus of the Roux-Limb
title_sort afferent loop syndrome after roux en y total gastrectomy caused by volvulus of the roux limb
url http://dx.doi.org/10.1155/2016/4930354
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