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Case Reports
. 2018 Nov 5:2018:bcr2018227167.
doi: 10.1136/bcr-2018-227167.

Successful endoscopic management of efferent loop syndrome after Billroth II distal gastrectomy

Derek Lim  1 , Kevin Bain  1 , Prashant Sinha  1
Affiliations
Case Reports

Successful endoscopic management of efferent loop syndrome after Billroth II distal gastrectomy

Derek Lim et al. BMJ Case Rep. .
No abstract available

Keywords: endoscopy; gastric cancer; gastrointestinal surgery; gi-stents.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Upper gastrointestinal series with findings suspicious for obstruction of the efferent limb. (A) Passage of contrast through the gastrojejunal anastomosis. (B) However, essentially all contrast flows retrograde into the afferent limb, (C,D) with backflow into the stomach. No passage of contrast into the efferent limb.
Figure 2
Figure 2
Endoscopic findings of the gastrojejunal anastomosis: (A) Bile seen but no apparent lumen. (B) Postintubation—angulation seen, with significantly narrowed lumen. (C,D) Poststent deployment—no angulation, widely patent.
Figure 3
Figure 3
Upper gastrointestinal series with prompt passage of contrast from the gastric remnant, through the endoscopic stent, and into non-distended small bowel and the right colon.
See this image and copyright information in PMC

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References

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