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
- 발행연도
- 2011.1
- 수록면
- 574 - 580 (7page)
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초록· 키워드
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Purpose: To assess the clinical manifestations and multidetector-row computed tomography (MDCT) findings of afferent loop syndrome (ALS) and to determine the role of MDCT on treatment decisions. Materials and Methods: From January 2004 to December 2008, 1,100 patients had undergone gastroenterostomy reconstruction in our institution. Of these, 22 (2%) patients were diagnosed as ALS after surgery that included Roux-en-Y gastroenterotomy (n=9), Billroth-II gastrojejunostomy (n=7), and Whipple’s operation (n=6). Clinical manifestations and MDCT features of these patients were recorded and statistically analyzed. The presumed etiologies of obstruction shown on the MDCT were correlated with clinical information and confirmed by surgery or endoscopic biopsy. Results: The most common clinical symptom was acute abdominal pain, presenting in 18 patients (82%). We found that a fluid-filled C-shaped afferent loop in combination with valvulae conniventes projecting into the lumen was the most common MDCT features of ALS. Malignant causes of ALS, such as local recurrence and carcinomatosis, are the most common etiologies of obstruction. These etiologies and associated complications can be predicted 100% by MDCT. Conclusion: Our results suggest that MDCT is a reliable modality for assessing the etiologies of ALS and guiding treatment decisions.
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참고문헌 (18)
참고문헌 신청
Berland LL / 1981 / Computed tomography of the normal and abnormal pancreatic duct: correlation with pancreatic ductography / Radiology 141 : 715 ~ 724
Beveridge CJ / 1999 / Afferent loop obstruction: CT appearances of an unusual cause of acute pancreatitis / Clin Radiol 54 : 188 ~ 189
Blachar A / 2001 / Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria / Radiology 218 : 68 ~ 74
Doherty M / 1998 / Case 1: Afferent loop syndrome / AJR Am J Roentgenol 171 : 852 ~ 857
Dorfman RE / 1991 / Upper abdominal lymph nodes: criteria for normal size determined with CT / Radiology 180 : 319 ~ 322
Beveridge CJ / 1999 / Afferent loop obstruction: CT appearances of an unusual cause of acute pancreatitis / Clin Radiol 54 : 188 ~ 189
Blachar A / 2001 / Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria / Radiology 218 : 68 ~ 74
Doherty M / 1998 / Case 1: Afferent loop syndrome / AJR Am J Roentgenol 171 : 852 ~ 857
Dorfman RE / 1991 / Upper abdominal lymph nodes: criteria for normal size determined with CT / Radiology 180 : 319 ~ 322
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