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Review
. 2015 Sep 27;7(9):190-5.
doi: 10.4240/wjgs.v7.i9.190.

Management of afferent loop obstruction: Reoperation or endoscopic and percutaneous interventions?

Konstantinos Blouhos  1 , Konstantinos Andreas Boulas  1 , Konstantinos Tsalis  1 , Anestis Hatzigeorgiadis  1
Affiliations
Review

Management of afferent loop obstruction: Reoperation or endoscopic and percutaneous interventions?

Konstantinos Blouhos et al. World J Gastrointest Surg. .

Abstract

Afferent loop obstruction is a purely mechanical complication that infrequently occurs following construction of a gastrojejunostomy. The operations most commonly associated with this complication are gastrectomy with Billroth II or Roux-en-Y reconstruction, and pancreaticoduodenectomy with conventional loop or Roux-en-Y reconstruction. Etiology of afferent loop obstruction includes: (1) entrapment, compression and kinking by postoperative adhesions; (2) internal herniation, volvulus and intussusception; (3) stenosis due to ulceration at the gastrojejunostomy site and radiation enteritis of the afferent loop; (4) cancer recurrence; and (5) enteroliths, bezoars and foreign bodies. Acute afferent loop obstruction is associated with complete obstruction of the afferent loop and represents a surgical emergency, whereas chronic afferent loop obstruction is associated with partial obstruction. Abdominal multiple detector computed tomography is the diagnostic study of choice. CT appearance of the obstructed afferent loop consists of a C-shaped, fluid-filled tubular mass located in the midline between the abdominal aorta and the superior mesenteric artery with valvulae conniventes projecting into the lumen. The cornerstone of treatment is surgery. Surgery includes: (1) adhesiolysis and reconstruction for benign causes; and (2) by-pass or excision and reconstruction for malignant causes. However, endoscopic enteral stenting, transhepatic percutaneous enteral stenting and direct percutaneous tube enterostomy have the principal role in management of malignant and radiation-induced obstruction. Nevertheless, considerable limitations exist as a former Roux-en-Y reconstruction limits endoscopic access to the afferent loop and percutaneous approaches for enteral stenting and tube enterostomy have only been reported in the literature as isolated cases.

Keywords: Afferent loop; Endoscopy; Enterostomy; Obstruction; Reoperation.

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Figures

Figure 1
Figure 1
C-loop (black arrow) and the keyboard sign (white arrows).
See this image and copyright information in PMC

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