title: Acute afferent loop necrosis after Roux-en-Y cholangiojejunostomy.
abstract: Afferent loop necrosis after Roux-en-Y cholangiojejunostomy biliary reconstruction is rare. We present the case of a 36-year-old woman with acute necrotic afferent loop obstruction. The peripheral area of the Roux-en-Y limb, including the cholangiojejunostomy portion, was twisted just proximal to the cholangiojejunostomy. Cholangiojejunostomy was completely separated due to necrosis of the Roux-en-Y jejunum. In addition to the case report, we discuss features of cholangiojejunostomy that require special attention.
authors.affiliation: Department of Surgery, Kumamoto Regional Medical Center, 5-16-10 Honjo, Kumamoto, 860-0811, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Hashimoto
authors.affiliation: Department of Surgery, Kumamoto Regional Medical Center, 5-16-10 Honjo, Kumamoto, 860-0811, Japan.
authors.forename: Tetsumasa
authors.initials: T
authors.lastname: Arita
authors.affiliation: Department of Surgery, Kumamoto Regional Medical Center, 5-16-10 Honjo, Kumamoto, 860-0811, Japan.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Kuroki
authors.affiliation: Department of Surgery, Kumamoto Regional Medical Center, 5-16-10 Honjo, Kumamoto, 860-0811, Japan.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Motomura
authors.affiliation: Department of Surgery, Kumamoto Regional Medical Center, 5-16-10 Honjo, Kumamoto, 860-0811, Japan.
authors.forename: Shinji
authors.initials: S
authors.lastname: Ishikawa
authors.affiliation: Department of Surgery, Kumamoto Regional Medical Center, 5-16-10 Honjo, Kumamoto, 860-0811, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Inayoshi
authors.affiliation: Department of Pathology and Experimental Medicine, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
authors.forename: Naoko
authors.initials: N
authors.lastname: Udaka
authors.affiliation: Department of Anesthesia, Kumamoto Regional Medical Center, 5-16-10 Honjo, Kumamoto, 860-0811, Japan.
authors.forename: Tadashi
authors.initials: T
authors.lastname: Tanoue
authors.affiliation: Department of Surgery, Kumamoto Regional Medical Center, 5-16-10 Honjo, Kumamoto, 860-0811, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Hirota
authors.affiliation: Department of Surgery, Kumamoto Regional Medical Center, 5-16-10 Honjo, Kumamoto, 860-0811, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Yagi
authors.affiliation: Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Kumamoto, 860-8556, Japan. hdobaba@kumamoto-u.ac.jp.
authors.forename: Hideo
authors.initials: H
authors.lastname: Baba
keywords: Afferent loop necrosis; Cholangiojejunostomy; Roux-en-Y reconstruction