Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

CT appearance of afferent loop obstruction

M E Gale, S G Gerzof, L C Kiser

    AJR. American Journal of Roentgenology
    |June 1, 1982
    PubMed
    Summary

    Afferent loop obstruction after Billroth II gastrojejunostomy can mimic cystic masses on CT scans. Recognizing the anatomy of these masses is crucial for accurate diagnosis in gastric cancer patients.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Fatty acids differentially regulate insulin resistance through endoplasm reticulum stress-mediated induction of tribbles homologue 3: a potential link between dietary fat composition and the pathophysiological outcomes of obesity.

    Diabetologia·2013
    Same author

    Integration of laparoscopic virtual-reality simulation into gynaecology training.

    BJOG : an international journal of obstetrics and gynaecology·2011
    Same author

    Objective assessment of surgical competence in gynaecological laparoscopy: development and validation of a procedure-specific rating scale.

    BJOG : an international journal of obstetrics and gynaecology·2008
    Same author

    Virtual reality simulation training can improve technical skills during laparoscopic salpingectomy for ectopic pregnancy.

    BJOG : an international journal of obstetrics and gynaecology·2006
    Same author

    Objective assessment of gynecologic laparoscopic skills using the LapSimGyn virtual reality simulator.

    Surgical endoscopy·2006
    Same author

    DICOM modality worklist: an essential component in a PACS environment.

    Journal of digital imaging·2004

    Area of Science:

    • Gastrointestinal Surgery
    • Radiology
    • Oncology

    Background:

    • Billroth type II gastrojejunostomy is a surgical procedure that can lead to afferent loop obstruction.
    • Afferent loop obstruction presents a diagnostic challenge due to its confusing computed tomographic (CT) appearance.
    • This appearance can be misdiagnosed as multiple peripancreatic cystic masses.

    Purpose of the Study:

    • To report three cases of afferent loop obstruction caused by gastric carcinoma.
    • To highlight the characteristic CT findings of afferent loop obstruction.
    • To emphasize the importance of recognizing specific anatomical features for correct diagnosis.

    Main Methods:

    • Case series reporting three patients with afferent loop obstruction and gastric carcinoma.
    • Review of computed tomographic (CT) scans to analyze the appearance of the obstructed afferent loop.
    • Correlation of imaging findings with surgical anatomy.

    Main Results:

    • The computed tomographic (CT) appearance of the obstructed afferent loop mimicked multiple peripancreatic cystic masses.
    • The number of apparent cystic masses varied with the length of the jejunal segment in the afferent loop.
    • Gastric carcinoma was identified as the underlying cause in all three reported cases.

    Conclusions:

    • Afferent loop obstruction in the context of gastric carcinoma has a distinctive CT appearance.
    • Understanding the relationship between jejunal length and the number of cystic masses is key.
    • Correct diagnosis relies on recognizing the typical anatomic configuration and uniform size of these cystic masses.

    Related Experiment Videos