Abstract
Afferent loop syndrome is a rare complication of gastric surgery. An obstruction of the afferent limb can present in various ways. A 73-year-old man presented with one day of persistent abdominal pain, gradually radiating to the back. He had a history of total gastrectomy with a Roux-en-Y reconstruction. Abdominal computed tomography scan revealed dilation of the duodenum and small intestine in the left upper quadrant. Exploratory laparotomy showed volvulus of the biliopancreatic limb that caused afferent loop syndrome. In this patient, the 50 cm long limb was the cause of volvulus. It is important to fashion a Roux-limb of appropriate length to prevent this complication.
Highlights
Afferent loop syndrome is a rare complication of gastric surgery
We present a patient who developed afferent loop syndrome after total gastrectomy with a Roux-en-Y reconstruction caused by volvulus of the biliopancreatic limb
Afferent loop syndrome is a rare complication that occurs in 0.2 to 1.0% of patients after gastrectomy with a Billroth
Summary
Afferent loop syndrome is a rare complication of gastric surgery. Afferent loop syndrome develops after distal gastrectomy following a Billroth II reconstruction. The same condition can occur after a Roux-en-Y reconstruction by stenosis or obstruction of “biliopancreatic limb” [1,2,3]. We present a patient who developed afferent loop syndrome after total gastrectomy with a Roux-en-Y reconstruction caused by volvulus of the biliopancreatic limb
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