ABSTRACT
Afferent loop syndrome is an uncommon complication which occurs in patients with Billroth II partial gastrectomy. Clinically, the diagnosis of afferent loop syndrome may be difficult to establish and thus, depends on the finding of computed tomography, abdominal ultrasound, barium studies and hepatobiliary scan. When the diagnosis is made, most of the cases are treated by surgical operation. We present a case of 67-year-old male patient with afferent loop syndrome associated with acute pancreatitis which was treated by endoscopic drainage procedure using a nasogastric tube.
Subject(s)
Aged , Humans , Male , Acute Disease , Afferent Loop Syndrome/diagnosis , Drainage , Endoscopy, Gastrointestinal , Gastroenterostomy , Hernia , Intubation, Gastrointestinal/instrumentation , Pancreatitis/complications , Tomography, X-Ray ComputedABSTRACT
Resumo: A síndrome da alça aferente ocorre em pacientes gastrectomizados nos casos de edema de anastomose, no emprego de técnica incorreta de reconstruçäo de gastrectomia ou ainda nos casos de tumores gástricos por recidiva tumoral. Queixas como ictericía, distensäo abdominal associada a dor e vômitos devem ser investigadas quanto a esta síndrome.
Subject(s)
Humans , Male , Afferent Loop Syndrome/diagnosis , Afferent Loop Syndrome , Afferent Loop SyndromeABSTRACT
Os autores relatam um caso de paciente portador de Síndrome de alça aferente, submetido a uma gastrectomia subtotal radical a Billroth II por adenocarcinoma gástrico dois anos antes, e realizam breve revisao de literatura.