Abstract
A 73-year-old female with a medical history of total gastrectomy and Roux-en-Y reconstruction was admitted to our hospital for epigastric pain. Contrast-enhanced abdominal computed tomographic (CT) scan showed a markedly dilated afferent loop with suspected anastomotic obstruction, leading to the diagnosis of afferent loop syndrome. Anastomosis stricture was so severe that we could not initially identify the anastomosis site by esophagogastroduodenoscopy, but we finally found the pinhole-like anastomosis site with leakage of yellowish-white liquid by the aid of an endoscopic distal attachment. Endoscopic balloon dilation was performed for the pinhole-like anastomosis stricture, and after that a large amount of intestinal juice flowed out through the dilated hole. Her symptoms improved together with resolution of the dilated afferent loop. Endoscopic balloon dilation is an effective treatment for afferent loop syndrome, and CT scan and attentive endoscopic examination are useful to identify the anastomosis site in such cases.
| Original language | English |
|---|---|
| Pages (from-to) | 131-137 |
| Number of pages | 7 |
| Journal | GASTROENTEROLOGICAL ENDOSCOPY |
| Volume | 60 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Feb 2018 |
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All Science Journal Classification (ASJC) codes
- Radiology Nuclear Medicine and imaging
- Gastroenterology
Cite this
A case of afferent loop syndrome with severe anastomosis stricture that was successfully treated by endoscopic balloon dilation. / Mishima, Tomonori; Iboshi, Yoichiro; Harada, Naohiko; Naruo, Ryoko; Wada, Masafumi; Fujii, Hiroyuki; Sumida, Yorinobu; Ihara, Eikichi; Nakamura, Kazuhiko.
In: GASTROENTEROLOGICAL ENDOSCOPY, Vol. 60, No. 2, 02.2018, p. 131-137.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A case of afferent loop syndrome with severe anastomosis stricture that was successfully treated by endoscopic balloon dilation
AU - Mishima, Tomonori
AU - Iboshi, Yoichiro
AU - Harada, Naohiko
AU - Naruo, Ryoko
AU - Wada, Masafumi
AU - Fujii, Hiroyuki
AU - Sumida, Yorinobu
AU - Ihara, Eikichi
AU - Nakamura, Kazuhiko
PY - 2018/2
Y1 - 2018/2
N2 - A 73-year-old female with a medical history of total gastrectomy and Roux-en-Y reconstruction was admitted to our hospital for epigastric pain. Contrast-enhanced abdominal computed tomographic (CT) scan showed a markedly dilated afferent loop with suspected anastomotic obstruction, leading to the diagnosis of afferent loop syndrome. Anastomosis stricture was so severe that we could not initially identify the anastomosis site by esophagogastroduodenoscopy, but we finally found the pinhole-like anastomosis site with leakage of yellowish-white liquid by the aid of an endoscopic distal attachment. Endoscopic balloon dilation was performed for the pinhole-like anastomosis stricture, and after that a large amount of intestinal juice flowed out through the dilated hole. Her symptoms improved together with resolution of the dilated afferent loop. Endoscopic balloon dilation is an effective treatment for afferent loop syndrome, and CT scan and attentive endoscopic examination are useful to identify the anastomosis site in such cases.
AB - A 73-year-old female with a medical history of total gastrectomy and Roux-en-Y reconstruction was admitted to our hospital for epigastric pain. Contrast-enhanced abdominal computed tomographic (CT) scan showed a markedly dilated afferent loop with suspected anastomotic obstruction, leading to the diagnosis of afferent loop syndrome. Anastomosis stricture was so severe that we could not initially identify the anastomosis site by esophagogastroduodenoscopy, but we finally found the pinhole-like anastomosis site with leakage of yellowish-white liquid by the aid of an endoscopic distal attachment. Endoscopic balloon dilation was performed for the pinhole-like anastomosis stricture, and after that a large amount of intestinal juice flowed out through the dilated hole. Her symptoms improved together with resolution of the dilated afferent loop. Endoscopic balloon dilation is an effective treatment for afferent loop syndrome, and CT scan and attentive endoscopic examination are useful to identify the anastomosis site in such cases.
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U2 - 10.11280/gee.60.131
DO - 10.11280/gee.60.131
M3 - Article
AN - SCOPUS:85042322774
VL - 60
SP - 131
EP - 137
JO - Gastroenterological Endoscopy
JF - Gastroenterological Endoscopy
SN - 0387-1207
IS - 2
ER -