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Endoscopic Ultrasound-Guided Gastroenterostomy for Afferent Loop Syndrome

Shiomi H, Sakai A, Nakano R, Ota S, Kobayashi T, Masuda A, Iijima H

Afferent loop syndrome (ALS) is a mechanical obstruction of the afferent limbs after gastrectomy with gastrojejunostomy reconstruction. Patients with cancer recurrence require immediate and less invasive treatment because of their...
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Percutaneous Enteral Stent Placement Using a Transhepatic Access for Palliation of Malignant Bowel Obstruction after Surgery

Choi WS, Yoon CJ, Lee JH

Objective: To assess the safety and clinical efficacy of percutaneous transhepatic enteral stent placement for recurrent malignant obstruction in patients with surgically altered bowel anatomy. Materials and Methods: Between July 2009...
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Percutaneous metallic stent placement for malignant afferent loop syndrome via the blind end of the jejunal limb after biliary reconstruction

Sato Y, Chatani S, Hasegawa T, Murata S, Kuwahara T, Hara K, Shimizu Y, Inaba Y

Background: Malignant afferent loop syndrome occurs after biliary reconstruction and is difficult to treat because of the complicated anatomical changes. The aim of this study was to investigate the safety...
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Percutaneous transhepatic afferent loop balloon dilatation and indwelling catheter placement for benign afferent loop obstruction

Kwon LM, Lee M

Benign afferent loop obstruction (ALO) is a complication that occurs after general surgery making Roux-en-Y or Billroth-II reconstruction and has typically been treated surgically. However, the surgery is difficult to...
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Recurrent Pancreatitis Caused by Afferent Loop Syndrome with Pathologic Features of Type II Autoimmune Pancreatitis

Lee SH, Kim MH, Kim HI, Back JY, Park YE, Hong SM, Kim HJ

Afferent loop syndrome (ALS) is a rare cause of recurrent pancreatitis. Recurrent pancreatitis in association with ALS can develop due to impaired outflow of pancreatic juice or reflux of enteric...
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Percutaneous Transabdominal Metallic Stent Placement for Palliation of Afferent Loop Syndrome: A Case Report

Kim KY, Han YM, Jung EH, Jin GY, Chae KJ, Lee KJ

The authors report a successful outcome after percutaneous transabdominal placement of a self-expandable metallic stent in a patient who had afferent loop syndrome caused by recurrent common bile duct adenocarcinoma....
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Metal Stent Placement in the Afferent Loop Obstructed by Peritoneal Metastases—Experience of Five Cases

Kanno Y, Ohira T, Harada Y, Koike Y, Yamagata T, Tanaka M, Shimada T, Ito K

Afferent loop syndrome is often difficult to resolve. Among patients with afferent loop syndrome whose data were extracted from databases, 5 patients in whom metal stent placement was attempted were...
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The obstructed afferent loop: Percutaneous options

Mullan D, Uberoi R

Endoscopic drainage can be considered the treatment of choice in benign and malignant obstruction of the distal biliary tree, with percutaneous intervention reserved for cases of difficult access or complex...
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RE: Afferent Loop Syndrome: A Rare Clinical Condition Diagnosed with Magnetic Resonance Cholangiopancreatography

Aribal S, Kara K, Sönmez G

No abstract available.
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A Case of Afferent Loop Syndrome Treated by Endoscopic Metal Stent Insertion Using Two Endoscopes

Kim JJ, Cheon YK, Lee TY, Shim CS

Afferent loop syndrome is a rare complication of pancreaticoduodenectomy, and the endoscopic approach is difficult due to the surgically altered anatomy. Herein, we report a case of afferent loop obstruction...
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Electrohydraulic Lithotripsy of an Impacted Enterolith Causing Acute Afferent Loop Syndrome

Cho YS, Lee TH, Hwang SO, Lee S, Jung Y, Chung IK, Park SH, Kim SJ

Afferent loop syndrome caused by an impacted enterolith is very rare, and endoscopic removal of the enterolith may be difficult if a stricture is present or the normal anatomy has...
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Percutaneous Cholangioscopic Lithotripsy for Afferent Loop Syndrome Caused by Enterolith Development after Roux-en-Y Hepaticojejunostomy: A Case Report

Kim SH, Jeong S, Lee DH, Yoo SS, Lee KY

  • KMID: 2165433
  • Clin Endosc.
  • 2013 Nov;46(6):679-682.
Afferent loop obstruction caused by enterolith formation is rare and cannot be easily treated with endoscopy because of the difficulty associated with the nonsurgical removal of enteroliths. A 74-year-old woman...
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A Case of Afferent Loop Syndrome with Acute Cholangitis Developed after Percutaneous Transhepatic Cholangioscopic Lithotripsy for Treatment of Choledocholithiasis in a Patient Who Underwent Billroth II Gastrectomy

Kim SH, Kwon KS, Jeong S, Lee DH, Min KS, Lee JW, Shin YW, Jeon YS

Afferent loop syndrome is a rare complication which can occur in patients with Billroth II gastrectomy. Bile and pancreatic juice is congested at afferent loop in the syndrome. This syndrome...
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Endoscopic Management of Afferent Loop Syndrome after a Pylorus Preserving Pancreatoduodenecotomy Presenting with Obstructive Jaundice and Ascending Cholangitis

Kim JK, Park CH, Huh JH, Park JY, Park SW, Song SY, Chung J, Bang S

  • KMID: 2165497
  • Clin Endosc.
  • 2011 Sep;44(1):59-64.
Afferent loop syndrome is a rare complication of gastrojejunostomy. Patients usually present with abdominal distention and bilious avomiting. Afferent loop syndrome in patients who have undergone a pylorus preserving pancreaticoduodenectomy...
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Using Multidetector-Row CT for the Diagnosis of Afferent Loop Syndrome Following Gastroenterostomy Reconstruction

Juan YH, Yu CY, Hsu HH, Huang GS, Chan DC, Liu CH, Tung HJ, Chang WC

PURPOSE: To assess the clinical manifestations and multidetector-row computed tomography (MDCT) findings of afferent loop syndrome (ALS) and to determine the role of MDCT on treatment decisions. MATERIALS AND METHODS: From...
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A Case of Primary Duodenal Cancer on Afferent Loop Presenting with Chronic Anemia and Recurrent Melena

Jun BG, Lee TH, Cho HW, Lee SH, Lee SH, Chung IK, Kim HS, Park SH, Kim SJ, Cho HD

  • KMID: 2317611
  • Soonchunhyang Med Sci.
  • 2011 Jun;17(1):49-52.
Obscure gastrointestinal bleeding accounts for approximately 5% of all gastrointestinal bleeding. Angioectasia of the small bowel is the most common form of obscure gastrointestinal bleeding, while small bowel tumors are...
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A Case of Acute Pancreatitis due to Afferent Loop Syndrome with Internal Hernia

Park JW, Lee JH, Kim SJ, Park HW, Kim HS, Shin WG, Kim KH, Kim HY

Acute pancreatitis and afferent loop syndrome (ALS) have similar symptoms and physical findings. Accurate early diagnosis is essential, as the management of acute pancreatitis is predominantly conservative whereas ALS usually...
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A Bezoar That Caused Afferent Loop Syndrome and Pancreatitis

Choi HS, Kim CD, Kang HS, Yoon SB, Jeen YT, Chun HJ, Um SH, Ryu HS

  • KMID: 2304745
  • Korean J Gastrointest Endosc.
  • 2009 Nov;39(5):291-295.
Bezoars are conglomerates of nondigestible matter in the gastrointestinal tract that may or may not be accompanied by gastrointestinal manifestations. Bezoars develop in patients with previous gastric surgery or in...
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A Case of Afferent Loop Syndrome after Inserting a Double-Layered Pyloric Stent for Gastric Outlet Obstruction in a Patient with Stump Gastric Cancer after Undergoing Billroth II Radical Subtotal Gastrectomy

Lee S, Hwang YJ, Kim SH, Kim IH, Kim SW, Lee SO, Kim DG, Lee ST

  • KMID: 2084562
  • Korean J Gastrointest Endosc.
  • 2009 Mar;38(3):147-150.
Stent insertion is an effective method for treating a patient with gastric outlet obstruction that's caused by recurred cancer at the anastomosis site. There are some complications associated with stent...
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A Case of Afferent Loop Syndrome Treated by Endoscopic Drainage Procedure using Nasogastric Tube

Kim HJ, Kim JW, Kim KH, Jo KW, Hong JH, Baik SK, Kim HS

  • KMID: 782840
  • Korean J Gastroenterol.
  • 2007 Mar;49(3):173-176.
Afferent loop syndrome is an uncommon complication which occurs in patients with Billroth II partial gastrectomy. Clinically, the diagnosis of afferent loop syndrome may be difficult to establish and thus,...
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