Afferent loop syndrome
https://doi.org/10.51922/1818-426X.2023.1.72
Abstract
The article gives a characteristic of post-gastroresection pathology – adductor loop syndrome. Ethology, pathogenesis, clinical manifestations, classification are described. Methods for diagnosing the syndrome using X-ray, endoscopic methods, ultrasound examination of the abdominal organs, and computed tomography are considered in detail. The methods of conservative therapy of the afferent loop syndrome are described, the indications for surgical treatment are determined. The characteristic of classical and new methods of implementation of operational benefits, their effectiveness is given. It was noted that during the surgical treatment of the afferent loop syndrome, etiopathogenetically substantiated reconstructive interventions are shown to help restore the natural, physiological relationships of organs and tissues; if possible, the pre-operative passage of food through the gastrointestinal tract.
About the Authors
G. A. Solomonova
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
S. I. Tretiak
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
References
1. Brekhov, E. I., Mizin S. P., Repin I. G., Shipova A. A. Obosnovanie sposoba vosstanovleniya nepreryvnosti zheludochnokishechnogo trakta posle rezekcii zheludka // Hirurgiya. – 2013. – № 6. – S. 8–13.
2. Zatevahin, I. I., Kirienko A. I., Kubyshkin V. A. Abdominal’naya hirurgiya. Nacional’noe rukovodstvo: kratkoe izdanie. – M.: GEOTAR-Media, 2016. – 912 s.
3. Kuzin, M. I. Hirurgicheskie bolezni: uchebnik. – 4-e izd., pererab. i dop. – M.: GEOTAR-Media, 2018. – C. 390–403.
4. Ruchkin, D. V., Kozlov V. A., Zavarueva A. A. Rekonstruktivnaya gastroplastika v hirurgii boleznej operirovannogo zheludka // Vestnik eksperimental’noj i klinicheskoj hirurgii. – 2019. – № 12: 1. – S. 10–16.
5. Chernousov, A. F., Horobryh T. V., Bogopol’skij P. M. Hirurgiya yazvennoj bolezni zheludka i dvenadcatiperstnoj kishki. – M.: Prakticheskaya medicina, 2016. – 351 s.
6. Chernousov, A., Horobryh T., Zubareva M., Vychuzhanin D., Gorbunov A., Abdulhakimov N., Uddin L., Horobryh V., Gel’mutdinova E. Aktual’nye problemy hirurgicheskogo lecheniya postgastrorezekcionnyh sindromov // Vrach. – 2019. – № 6. – P. 3–9. – DOI: https://doi.org/10.29296/25877305-2019-06-01
7. Chernousov, A. F., Horobryh T. V., Zubareva M. V., Korotkij V. I., Abdulhakimov N. M. Rezul’taty povtornoj rezekcii zheludka po Bil’rot-I i organo-sohranyayushchih operacij pri lechenii yazvennoj bolezni dvenadcatiperstnoj kishki // Novosti hirurgii. – 2020. – T. 28, № 1. – P. 112–119.
8. Alves, A. R., Almeida N., Ferreira A. M. et al. Endoscopic management of afferent loop syndrome caused by enteroliths and anastomotic stricture: a case report // Rev Esp Enferm Dig. – 2017. – Vol. 109. – P. 457–457.
9. Blouhos, K., Boulas K. A., Tsalis K., Hatzigeorgiadis A. Management of afferent loop obstruction: Re-operation or endoscopic and percutaneous interventions? // World J Gastrointest Surg. – 2015. – № 7(9). – P. 190–5.
10. Cao, Y, Kong X, Yang D, Li S. Endoscopic nasogastric tube insertion for treatment of benign afferent loop obstruction after radical gastrectomy for gastric cancer: A 16-year retrospective single-center study // Medicine (Baltimore). – 2019. – Vol. 98(28). – P. e16475.
11. Chan-Young, Kim. Postgastrectomy syndrome // Foregut Surg. – 2022. – № 2(1). – P. 7–28.
12. Dias, A. R., Lopes R. I. Biliary stone causing afferent loop syndrome and pancreatitis // World J Gastroenterol. – 2006. – № 12(38). – P. 6229–31.
13. Hu, H. T., Ma F. H., Wu Z. M., Qi X. H., Zhong Y. X., Xie Y. B., Tian Y. T. Treatment of afferent loop syndrome using fluoroscopic-guided nasointestinal tube lacement: Two case reports // World J Clin Cases. – 2020. – № 8(21). – P. 5353–5360.
14. Juan, Y.-H., Yu C.-Y., Hsu H.-H. et al. Using multidetector-row CT for the diagnosis of afferent loop syndrome following gastroenterostomy reconstruction // Yonsei Med J. – 2011. – Vol. 52. – P. 574–80.
15. Kawamoto, Y., Ome Y., Kouda Y., Saga K., Park T., Kawamoto K. Pancreaticoduodenectomy fol-lowing gastrectomy reconstructed with Billroth II or Roux-en-Y method: Case series and literature re-view // Int J Surg Case Rep. – 2017. – Vol. 35. – P. 106–109.
16. Kida, A., Kido H., Matsuo T. et al. Usefulness of endoscopic metal stent placement for malignant afferent loop obstruction // Surg Endosc. – 2020. – Vol. 34. – P. 2103–12.
17. Lee, S.-Y., Lee J.-C., Yang D.-H. Early postoperative retrograde jejunojejunal intussusception after total gastrectomy with Roux-en-Y esophagojejunostomy: a case report // J Gastric Cancer. – 2013. – № 13. – P. 263.
18. Mishima, T., Iboshi Y., Harada N. et al. A case of afferent loop syndrome with severe anastomosis stricture that was successfully treated by endoscopic balloon dilation // Gastroenterol Endosc. – 2018. – Vol. 60. – P. 131–7.
19. Termsinsuk, P., Chantarojanasiri T., Pausawasdi N. Diagnosis and treatment of the afferent loop syndrome // Clinical Journal of Gastroenterology. – 2020. – № 13(5). – P. 1–9. – DOI: 10.1007/s12328-020-01170-z.
20. Yane, K., Katanuma A., Hayashi T. et al. Enteral self-expandable metal stent placement for ma-lignant afferent limb syndrome using single-balloon enteroscope: report of five cases // Endosc Int Open. – 2018. – № 6. – P. 1330–5.
21. Yasuda, A., Imamoto H., Furukawa H. et al. Two cases of afferent loop syndrome caused by ob-struction at the jejuno-jejunostomy site in the Roux-en-Y loop that were success fully treated by endo-scopic balloon dilatation // Gan To Kagaku Ryoho. – 2014. – Vol. 41. – P. 2322–5.
22. Zissin, R. CT findings of afferent loop syndrome after a subtotal gastrectomy with Rouxen-Y reconstruction // Emerg Radiol. – 2004. – № 10. – P. 201–3.
Review
For citations:
Solomonova G.A., Tretiak S.I. Afferent loop syndrome. Medical Journal. 2023;(1):72-83. (In Russ.) https://doi.org/10.51922/1818-426X.2023.1.72
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