지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.84 No.5
- 발행연도
- 2013.5
- 수록면
- 281 - 286 (6page)
이용수
초록· 키워드
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Purpose: Afferent loop (A-loop) obstruction is an uncommon postgastrectomy complication following Billroth-II (B-II) or Roux-en-Y reconstruction. Moreover, its development after laparoscopic gastrectomy has not been reported. Here we report 4 cases of A-loop obstructions after laparoscopic distal gastrectomy (LDG) with B-II reconstruction. Methods: Among the 396 patients who underwent LDG with a B-II anastomosis between April 2004 and December 2011, 4 patients had A-loop obstruction. Their data were obtained from a prospectively maintained institutional database and analyzed for outcomes. Results: Four patients (1.01%) developed A-loop obstruction. All were male, and their median age was 52 years (range, 30 to 73 years). The interval between the initial gastrectomies and the operation for A-loop obstruction ranged from 4 to 540 days (median, 33 days). All 4 patients had symptoms of vomiting and abdominal pain and were diagnosed by abdominal computed tomographic (CT) scan. The causes of the A-loop obstructions were adhesions (2 cases) and internal herniations (2 cases) that were treated with Braun anastomoses and reduction of the herniated small bowels, respectively. All patients recovered following the emergency operations. Conclusion: A-loop obstruction is a rare but serious complication following laparoscopic and open gastrectomy. It should be considered when a patient complains of continuous abdominal pain and/or vomiting after LDG with B-II reconstruction. Prompt CT scan may play an important role in diagnosis and treatment.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (16)
참고문헌 신청
1. [학술지(정기간행물)] - Aoki M / 2010 / Afferent loop obstruction after distal gastrectomy with Roux-en-Y reconstruction / World J Surg 34 : 2389 ~ 2392
2. [학술지(정기간행물)] - Mitty WF Jr / 1970 / Chronic afferent loop syndrome / Ann Surg 172 : 996 ~ 1001
3. [학술지(정기간행물)] - Ballas KD / 2009 / Acute afferent loop syndrome: a true emergency: a case report / Acta Chir Belg 109 : 101 ~ 103
4. [학술지(정기간행물)] - Bastable JR / 1960 / Retro-anastomotic hernia. Eight cases of internal hernia following gastrojejunal anastomosis, with a review of the literature / Br J Surg 48 : 183 ~ 189
5. [학술지(정기간행물)] - Hye-Jeong Lee / 2011 / Clinical Outcomes of Gastrectomy after Incomplete EMR/ESD / 대한위암학회지 11 (3) : 162 ~ 166
2. [학술지(정기간행물)] - Mitty WF Jr / 1970 / Chronic afferent loop syndrome / Ann Surg 172 : 996 ~ 1001
3. [학술지(정기간행물)] - Ballas KD / 2009 / Acute afferent loop syndrome: a true emergency: a case report / Acta Chir Belg 109 : 101 ~ 103
4. [학술지(정기간행물)] - Bastable JR / 1960 / Retro-anastomotic hernia. Eight cases of internal hernia following gastrojejunal anastomosis, with a review of the literature / Br J Surg 48 : 183 ~ 189
5. [학술지(정기간행물)] - Hye-Jeong Lee / 2011 / Clinical Outcomes of Gastrectomy after Incomplete EMR/ESD / 대한위암학회지 11 (3) : 162 ~ 166
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UCI(KEPA) : I410-ECN-0101-2014-510-003543546