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  • Title: [Two cases of afferent loop obstruction associated with peritoneal dissemination after total gastrectomy].
    Author: Sakuraba S, Kawasaki H, Wajima N, Miyamoto K, Ishizawa Y, Kimura A, Nakai M, Hakamada K.
    Journal: Gan To Kagaku Ryoho; 2012 Nov; 39(12):2369-71. PubMed ID: 23268080.
    Abstract:
    We report 2 cases of afferent loop obstruction associated with peritoneal dissemination after total gastrectomy. Case 1: A 57-year-old man, who underwent total gastrectomy with Roux-en Y reconstruction for gastric cancer 5 years earlier, experienced lumbago. Computed tomography scans showed a fluid-filled dilated afferent loop. Bypass surgery was performed after inserting a drainage tube into the afferent loop. Case 2: A 61-year-old woman, who underwent total gastrectomy with Roux-en Y reconstruction for a gastric cancer 2 years earlier, experienced abdominal pain. CT and magnetic resonance imaging scans showed a fluid-filled dilated afferent loop and mass lesion near the Y anastomosis. After percutaneous transhepatic duodenal drainage, a duodenal stent was inserted. Here, we describe 2 cases of afferent loop obstruction, improved surgery, and non-surgical therapy.
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