Afferent Loop syndrome with associated perforation 15 years after gastrectomy and Roux-En-Y Reconstruction

  • Jamish Gandhi
  • Lance Buckthought
  • Aleksandra Popadich

Abstract

An elderly patient presented to our institution with abdominal pain, nausea and vomiting. She had an extensive surgical background including gastrectomy with Roux-en-y reconstruction undertaken 15 years earlier. A CT abdomen demonstrated a small bowel obstruction proximal to the jejunojejunostomy with features suggestive of afferent loop syndrome (ALS), a rare but known complication following Roux-en-y reconstruction. Initial surgery identified a band adhesion and an associated ischemic small bowel segment, which was resected with primary anastomosis. A further operation was required at post-operative day five due to clinical deterioration. A retroperitoneal collection was identified secondary to perforation of the afferent loop.
Published
Mar 27, 2015
How to Cite
GANDHI, Jamish; BUCKTHOUGHT, Lance; POPADICH, Aleksandra. Afferent Loop syndrome with associated perforation 15 years after gastrectomy and Roux-En-Y Reconstruction. International Archives of Medicine, [S.l.], v. 8, mar. 2015. ISSN 1755-7682. Available at: <http://imed.pub/ojs/index.php/iam/article/view/1094>. Date accessed: 22 june 2018. doi: http://dx.doi.org/10.3823/1664.
Section
General Surgery