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Percutaneous transhepatic afferent loop balloon dilatation and indwelling catheter placement for benign afferent loop obstruction

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초록

Benign afferent loop obstruction (ALO) is a complication that occurs after general surgery making Roux-en-Y or Billroth-II reconstruction and has typically been treated surgically. However, the surgery is difficult to conduct in about 25% of cases due to comorbidity and nonoperative management has been attempted. Here, we report two cases of benign ALO that were treated with percutaneous transhepatic afferent loop balloon dilatation and indwelling catheter, including one case with no improvement after surgery.

Abstract

Benign afferent loop obstruction (ALO) is a complication that occurs after general surgery making Roux-en-Y or Billroth-II reconstruction and has typically been treated surgically. However, the surgery is difficult to conduct in about 25% of cases due to comorbidity and nonoperative management has been attempted. Here, we report two cases of benign ALO that were treated with percutaneous transhepatic afferent loop balloon dilatation and indwelling catheter, including one case with no improvement after surgery.

참고문헌 (7)

  1. Pawlik TM, "Gastrointestinal surgery: management of complex perioperative complications" (2015), Springer
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  3. Kim SH, "Afferent loop syndrome after subtotal gastrectomy with billroth-II reconstruction : etiology and treatment", Int Surg, 101, pp.194~200 (2016)
  4. Moriura S, "Percutaneous bowel drainage for jaundice due to afferent loop obstruction following pancreatoduodenectomy : report of a case", Surg Today, 29, pp.1098~1101 (1999)
  5. Cao Y, "Endoscopic nasogastric tube insertion for treatment of benign afferent loop obstruction after radical gastrectomy for gastric cancer : a 16-year retrospective single-center study", Medicine(Baltimore), 98, pp.e16475~ (2019)
  6. Ratone JP, "Outcomes of duodenal stenting : experience in a French tertiary center with 220 cases", Dig Liver Dis, 52, pp.51~56 (2020)
  7. McNicholas MM, "Radiologically guided balloon dilatation of obstructing gastrointestinal strictures", Abdom Imaging, 19, pp.102~107 (1994)

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