title: [Two cases of afferent loop obstruction associated with peritoneal dissemination after total gastrectomy].
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.
authors.affiliation: Dept. of Gastroenterological Surgery, Hirosaki University, Japan.
authors.forename: Shingo
authors.initials: S
authors.lastname: Sakuraba
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kawasaki
authors.forename: Naoki
authors.initials: N
authors.lastname: Wajima
authors.forename: Keiichi
authors.initials: K
authors.lastname: Miyamoto
authors.forename: Yoshiya
authors.initials: Y
authors.lastname: Ishizawa
authors.forename: Akitoshi
authors.initials: A
authors.lastname: Kimura
authors.forename: Makoto
authors.initials: M
authors.lastname: Nakai
authors.forename: Kenichi
authors.initials: K
authors.lastname: Hakamada
mesh_terms: D000343:Afferent Loop Syndrome / Q000209:etiology / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010534:Peritoneal Neoplasms / Q000556:secondary*; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*