title: [Endoscopic Stent Placement to Alleviate Afferent Loop Syndrome Following Recurrence of Pancreatic Cancer].
abstract: We report a case of endoscopic stent placement to alleviate afferent loop syndrome following recurrence of pancreatic cancer. A 73-year-old man who had undergone pancreatic duodenectomy with portal vein resection for pancreatic cancer had developed a local recurrence and was treated with chemotherapy. He developed a high-grade fever and general fatigue, and laboratory data revealed anemia and a high inflammatory reaction; therefore, he was admitted to our hospital. CT scans revealed intestinal stenosis and upper dilatation, known as afferent loop syndrome, caused by the recurrence. We safely implanted a metallic stent(non-covered Niti-S stent, Century Medical, Inc.)at the point of intestinal stenosis using a double balloon endoscope. As the stent was adequately expanded and the afferent loop syndrome was relieved, the patient was discharged with a better quality of life and there were no complications associated with the stent until he died 6 months later.
authors.affiliation: Dept. of Surgery, Osaka Rosai Hospital.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Murakami
authors.forename: Junzo
authors.initials: J
authors.lastname: Shimizu
authors.forename: Chikato
authors.initials: C
authors.lastname: Koga
authors.forename: Tae
authors.initials: T
authors.lastname: Matsumura
authors.forename: Chizu
authors.initials: C
authors.lastname: Kameda
authors.forename: Ryohei
authors.initials: R
authors.lastname: Kawabata
authors.forename: Masaki
authors.initials: M
authors.lastname: Hirota
authors.forename: Masato
authors.initials: M
authors.lastname: Yoshikawa
authors.forename: Shingo
authors.initials: S
authors.lastname: Noura
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Kusumoto
authors.forename: Motohiro
authors.initials: M
authors.lastname: Hirao
authors.forename: Masahiko
authors.initials: M
authors.lastname: Tsujii
authors.forename: Junichi
authors.initials: J
authors.lastname: Hasegawa
mesh_terms: D000368:Aged; D003113:Colonoscopy; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D007415:Intestinal Obstruction / Q000628:therapy*; D007579:Jejunal Diseases / Q000628:therapy*; D008297:Male; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000601:surgery; D012008:Recurrence; D015607:Stents