title: [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].
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.
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Seong Hyun
authors.initials: SH
authors.lastname: Kim
authors.forename: Kye Sook
authors.initials: KS
authors.lastname: Kwon
authors.forename: Seok
authors.initials: S
authors.lastname: Jeong
authors.forename: Don Haeng
authors.initials: DH
authors.lastname: Lee
authors.forename: Kyung Sun
authors.initials: KS
authors.lastname: Min
authors.forename: Jin-Woo
authors.initials: JW
authors.lastname: Lee
authors.forename: Yong Woon
authors.initials: YW
authors.lastname: Shin
authors.forename: Yong Sun
authors.initials: YS
authors.lastname: Jeon
mesh_terms: D000208:Acute Disease; D000343:Afferent Loop Syndrome / Q000209:etiology*; D000369:Aged, 80 and over; D002404:Catheterization; D002758:Cholangiography; D002761:Cholangitis / Q000209:etiology*; D042883:Choledocholithiasis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D003135:Common Bile Duct; D042882:Gallstones / Q000175:diagnosis* / Q000628:therapy; D005763:Gastroenterostomy; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D013274:Stomach Neoplasms / Q000601:surgery; D014057:Tomography, X-Ray Computed