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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Format: | Article |
Language: | English |
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Wiley
2016-01-01
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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. |
format | Article |
id | doaj-art-c6f673f4a50b4f1d9d991cfddf03e53d |
institution | Kabale University |
issn | 2090-6900 2090-6919 |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
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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