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Afferent loop obstruction after distal gastrectomy with Roux-en-Y reconstruction
Masaru Aoki1, Makoto Saka, Shinji Morita
1Gastric Surgery Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan.
World Journal of Surgery
|May 12, 2010
Summary
Afferent loop obstruction is a rare complication after open distal gastrectomy with Roux-en-Y reconstruction, occurring in 0.2% of patients. Prompt recognition and surgical intervention are crucial for favorable outcomes.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Surgery
Background:
- Afferent loop obstruction is a potential complication following gastrectomy with Roux-en-Y reconstruction.
- The incidence of this complication after open distal gastrectomy has not been previously reported.
Purpose of the Study:
- To determine the incidence of afferent loop obstruction.
- To investigate the causes and outcomes of afferent loop obstruction after open distal gastrectomy with Roux-en-Y reconstruction.
Main Methods:
- Retrospective review of 1908 patients undergoing open distal gastrectomy with Roux-en-Y reconstruction.
- Data collected between January 1999 and December 2008.
Main Results:
- Four patients (0.2%) developed afferent loop obstruction.
- Causes included internal herniation (n=2), adhesion (n=1), and peritoneal recurrence (n=1).
- Symptoms included vomiting and abdominal pain; all patients recovered after surgical intervention.
Conclusions:
- Afferent loop obstruction is a rare complication after open distal gastrectomy with Roux-en-Y reconstruction.
- Consideration of this diagnosis is important for patients presenting with abdominal pain or vomiting post-surgery.
- Early surgical intervention leads to positive patient outcomes.
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