Publication: Diagnosis and treatment of the afferent loop syndrome
Issued Date
2020-01-01
Resource Type
ISSN
18657265
18657257
18657257
Other identifier(s)
2-s2.0-85087628653
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Mahidol University
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SCOPUS
Bibliographic Citation
Clinical Journal of Gastroenterology. (2020)
Suggested Citation
Panotpol Termsinsuk, Tanyaporn Chantarojanasiri, Nonthalee Pausawasdi Diagnosis and treatment of the afferent loop syndrome. Clinical Journal of Gastroenterology. (2020). doi:10.1007/s12328-020-01170-z Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/58279
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Title
Diagnosis and treatment of the afferent loop syndrome
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Abstract
© 2020, Japanese Society of Gastroenterology. Afferent loop syndrome (ALS) is a mechanical complication that arises after gastric surgery with gastrojejunostomy reconstruction. This condition was first described in 1950 by Roux, Pedoussaut, and Marchal to post-gastrectomy patients with bilious vomiting. Acute ALS is associated with complete obstruction and considered a surgical emergency, whereas chronic ALS is mostly related to partial obstruction of the afferent loop. The delay in diagnosis may lead to intestinal ischemia, perforation and can be associated with a high mortality rate up to 60%. Surgery is usually the mainstay treatment of ALS, but endoscopic therapy, including stent placement in malignancy-related, anastomotic stricture dilation, has been evolving over the past recent years.