[Causes of mechanical afferent loop syndrome after stomach resection in peptic ulcer]

The author observed 27 patients with the adducent loop mechanic syndrome (ALMS), which was caused by scarring deformations, ulcerous and cancer process in the region of anastomosis, constructed after one of Billroth-2 technics, impairing evacuation of the adducent loop content. The diagnosis was established on the basis of clinical findings and pinpointed further by roentgenoscopy and fibrogastroscopy. The presence of helminthic invasion of the liver--opisthordiasis resulted in hepatitis, pancreatitis that would not respond to therapy in patients with ALMS. Conservative measures in this syndrome yield but only a provisional effect. Eighteen patients were operated upon.