H-Index
17
Scimago Lab
powered by Scopus
eISSN: 1941-5923
call: +1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Logo

Medical Science Monitor Basic Research
MSMbanner

Annals
ISI-Home

Get your full text copy in PDF

Percutaneous transhepatic doudenal drainage for afferent loop obstruction

Va-Kei Kok, Hai-Sung Hsiao, Cheng-Chung Wang

CaseRepClinPractRev 2003; 4(1):57-61

ID: 429029


Background: Afferent loop obstruction of the small intestine is a relatively uncommon complication of partial gastrectomy. Surgical revision of such a condition with jejunojejunostomy or Roux-en-Y conversion would appear to be the standard procedure for treatment for afferent loop obstruction.Case Report: We report on a case of a malignancy developing from a choledochal cyst in a patient who had previously undergone a Whipple‘s procedure. There were postoperative complications which included afferent loop syndrome. Repeated abdominal problems and post-surgical infection resulted in sepsis and malnourishment of our paitent. Percutaneous transhepatic duodenal drainage (PTDD) provided effective palliation for both afferent loop obstruction and biliary stasis.Conclusions: Our current case reveals a record of recurrent cancer as well as adhesion of the biliary tract and presence of a longer, redundant proximal jejunal loop resulting in afferent loop obstruction. Percutaneous catheter drainage should prove to be a useful alternative form of palliation for the treatment of afferent loop obstruction for selected patients who are considered by clinicians to be poor surgical candidates.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree