Endoscopic treatment of efferent loop syndrome with insertion of double pigtail stent.
Efferent loop syndrome is a very rare postgastrectomy syndrome that can occur following Billroth-II or Roux-en-Y reconstruction. The most common loop syndrome after gastric surgery is afferent loop syndrome; however, efferent loop syndrome has been reported in rare cases. Here, we report a case of efferent loop obstruction that occurred after postoperative adhesiolysis of a small-bowel obstruction. The patient had undergone a partial gastrectomy with Billroth II anastomosis and gastric ulcer perforation 30 years prior. The efferent loop obstruction was successfully resolved by the insertion of a double pigtail stent. To the best of our knowledge, this is the first case in the literature describing the treatment of efferent loop obstruction.
Woo Yong Lee, Department of Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul 100-032, South Korea.
Woo Yong
WY
Lee
Jeong Seop
JS
Moon
D004106:Dilatation; D016099:Endoscopy, Gastrointestinal / Q000295:instrumentation*; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D015607:Stents; D016896:Treatment Outcome
Double pigtail stent; Efferent loop syndrome; Postgastrectomy syndrome