382 735

Cited 16 times in

Endoscopic management of afferent loop syndrome after a pylorus preserving pancreatoduodenecotomy presenting with obstructive jaundice and ascending cholangitis

Authors
 Jae Kyung Kim  ;  Chan Hyuk Park  ;  Ji Hye Huh  ;  Jeong Youp Park  ;  Seung Woo Park  ;  Si Young Song  ;  Jaebock Chung  ;  Seungmin Bang 
Citation
 CLINICAL ENDOSCOPY, Vol.44(1) : 59-64, 2011 
Journal Title
CLINICAL ENDOSCOPY
ISSN
 2234-2400 
Issue Date
2011
Keywords
Afferent loop syndrome ; Endoscopic treatment ; Obstructive jaundice ; Pylorus preserving pancreaticoduodenectomy
Abstract
Afferent loop syndrome is a rare complication of gastrojejunostomy. Patients usually present with abdominal distention and bilious vomiting. Afferent loop syndrome in patients who have undergone a pylorus preserving pancreaticoduodenectomy can present with ascending cholangitis. This condition is related to a large volume of reflux through the biliary-enteric anastomosis and static materials with bacterial overgrowth in the afferent loop. Patients with afferent loop syndrome after pylorus preserving pancreaticoduodenectomy frequently cannot be confirmed as surgical candidates due to poor medical condition. In that situation, a non-surgical palliation should be considered. Herein, we report two patients with afferent loop syndrome presenting with obstructive jaundice and ascending cholangitis. The patients suffered from the recurrence of pancreatic cancer after pylorus preserving pancreaticoduodenectomy. The diagnosis of afferent loop syndrome was confirmed, and the patients were successfully treated by inserting an endoscopic metal stent using a colonoscopic endoscope.
Files in This Item:
T201193915.pdf Download
DOI
10.5946/ce.2011.44.1.59
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jae Kyoung(김재경)
Park, Seung Woo(박승우) ORCID logo https://orcid.org/0000-0001-8230-964X
Park, Jeong Youp(박정엽) ORCID logo https://orcid.org/0000-0003-0110-8606
Park, Chan Hyuk(박찬혁)
Bang, Seungmin(방승민) ORCID logo https://orcid.org/0000-0001-5209-8351
Song, Si Young(송시영) ORCID logo https://orcid.org/0000-0002-1417-4314
Chung, Jae Bock(정재복)
Huh, Ji Hye(허지혜)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95287
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links