Endoscopic treatment of efferent loop syndrome with insertion of double pigtail stent.

Abstract

Efferent loop syndrome is a very rare postgastrectomy syndrome that can occur following Billroth-II or Roux-en-Y reconstruction. The most common loop syndrome after gastric surgery is afferent loop syndrome; however, efferent loop syndrome has been reported in rare cases. Here, we report a case of efferent loop obstruction that occurred after postoperative adhesiolysis of a small-bowel obstruction. The patient had undergone a partial gastrectomy with Billroth II anastomosis and gastric ulcer perforation 30 years prior. The efferent loop obstruction was successfully resolved by the insertion of a double pigtail stent. To the best of our knowledge, this is the first case in the literature describing the treatment of efferent loop obstruction.

• Authors: Woo Yong Lee, Jeong Seop Moon
• Journal: World journal of gastroenterology (World J Gastroenterol) Vol. 19 Issue 41 Pg. 7209-12 (Nov 07 2013) ISSN: 2219-2840 [Electronic] United States
• PMID: 24222968 (Publication Type: Case Reports, Journal Article)

Topics

• Dilatation
• Endoscopy, Gastrointestinal (instrumentation)
• Gastrectomy (adverse effects)
• Humans
• Intestinal Obstruction (diagnosis, therapy)
• Male
• Middle Aged
• Prosthesis Design
• Stents
• Treatment Outcome