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Case Reports
. 2021 Aug 13;14(8):e244559.
doi: 10.1136/bcr-2021-244559.

Surgical bypass in malignant afferent loop syndrome

Krystal Tan  1 , Zi Qin Ng  2 , Suresh Navadgi  1
Affiliations
Case Reports

Surgical bypass in malignant afferent loop syndrome

Krystal Tan et al. BMJ Case Rep. .
No abstract available

Keywords: gastrointestinal surgery; general surgery; palliative procedures.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
(A) Axial slice of the CT scan showing dilated small bowel loop at the afferent limb with the transition at the gastrojejunal anastomosis and evidence of metastatic disease (green arrow). (B) coronal slice of the CT scan showing the dilated small bowel loops proximal to the gastrojejunal anastomosis (blue arrow) and collapse of small bowel loops at the efferent limb (pink arrow).
Figure 2
Figure 2
(A) Coronal slice of the CT scan showing the afferent loop syndrome leading to dilatation of the hepaticojejunostomy anastomosis (red arrow) and (B) axial slice of the CT scan showing intrahepatic duct dilatation (purple arrow).
See this image and copyright information in PMC

References

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    1. Desai A, Manvar A, Ho S. Afferent loop syndrome due to volvulus of the afferent limb. ACG Case Rep J 2019;6:e00123. 10.14309/crj.0000000000000123 - DOI - PMC - PubMed
    1. Pannala R, Brandabur JJ, Gan S-I, et al. . Afferent limb syndrome and delayed GI problems after pancreaticoduodenectomy for pancreatic cancer: single-center, 14-year experience. Gastrointest Endosc 2011;74:295–302. 10.1016/j.gie.2011.04.029 - DOI - PubMed
    1. Katagiri H, Tahara K, Yoshikawa K, et al. . Afferent loop syndrome after Roux-en-Y total gastrectomy caused by volvulus of the Roux-Limb. Case Rep Surg 2016;2016:493035410.1155/2016/4930354 - DOI - PMC - PubMed
    1. Adoor D, Smith ZL. Percutaneous- and EUS-guided gastroenterostomy for malignant afferent limb syndrome. VideoGIE 2020;5:542–4. 10.1016/j.vgie.2020.05.032 - DOI - PMC - PubMed

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