A Case of Afferent Loop Syndrome with Acute Cholangitis Developed after Percutaneous Transhepatic Cholangioscopic Lithotripsy for Treatment of Choledocholithiasis in a Patient Who Underwent Billroth II Gastrectomy.
10.4166/kjg.2012.59.2.180
- Author:
Seong Hyun KIM
1
;
Kye Sook KWON
;
Seok JEONG
;
Don Haeng LEE
;
Kyung Sun MIN
;
Jin Woo LEE
;
Yong Woon SHIN
;
Yong Sun JEON
Author Information
1. Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. inos@inha.ac.kr
- Publication Type:Case Reports ; English Abstract
- Keywords:
Afferent loop syndrome;
Cholangitis;
Lithotripsy;
Choledocholithiasis;
Gastrectomy
- MeSH:
Acute Disease;
Afferent Loop Syndrome/*etiology;
Aged, 80 and over;
Balloon Dilation;
Cholangiography;
Cholangitis/*etiology;
Choledocholithiasis/*diagnosis/radiography/therapy;
Common Bile Duct;
Gallstones/*diagnosis/therapy;
Gastroenterostomy;
Humans;
Lithotripsy/*adverse effects;
Male;
Stomach Neoplasms/surgery;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2012;59(2):180-184
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Afferent loop syndrome is a rare complication which can occur in patients with Billroth II gastrectomy. Bile and pancreatic juice is congested at afferent loop in the syndrome. This syndrome can progress rapidly to necrosis, perforation, or severe sepsis, and therefore early diagnosis and swift surgical intervention is important. But, cases of endoscopic or percutaneous transhepatic drainage have been reported when surgical management was inappropriate to proceed. We report a case of afferent loop syndrome accompanying acute cholangitis developed after percutaneous transhepatic cholangioscopic lithotripsy for the retrieval of common bile duct stone in a patient who underwent Billroth II gastrectomy due to early gastric cancer. There was no other organic cause. We treated afferent loop syndrome successfully by performing balloon dilation of afferent loop outlet.
