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논문 기본 정보

자료유형
학술저널
저자정보
Yozo Sato (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan) Shohei Chatani (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan) Takaaki Hasegawa (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan) Shinichi Murata (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan) Takamichi Kuwahara (Department of Gastroenterology Aichi Cancer Center Hospital Nagoya Japan) Kazuo Hara (Department of Gastroenterology Aichi Cancer Center Hospital Nagoya Japan) Yasuhiro Shimizu (Aichi Cancer Center Hospital) Yoshitaka Inaba (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan)
저널정보
소화기인터벤션의학회 International Journal of Gastrointestinal Intervention International Journal of Gastrointestinal Intervention 제10권 제1호
발행연도
2021.1
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23 - 27 (5page)

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초록· 키워드

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Background: Malignant afferent loop syndrome occurs after biliary reconstruction and is difficult to treat because of the complicated anatomical changes. The aim of this study was to investigate the safety and efficacy of percutaneous metallic stent placement for malignant afferent loop syndrome via the blind end of the jejunal limb after biliary reconstruction. Methods: Percutaneous metallic stent placement via the jejunal limb was performed in five male patients (median age, 68 years; range, 51?88 years) with malignant afferent loop syndrome following pancreatoduodenectomy or bile duct resection with reconstruction at our institute from June 2009 to April 2019. Reconstruction was performed using a modified Child’s method or the Roux-en-Y method, and blind end of the jejunal limb was surgically fixed to the abdominal wall. Percutaneous drainage of the afferent loop was performed via the blind end of the jejunal limb. Subsequently, percutaneous metallic stent placement was performed via the same route. Technical success, clinical success, and complications were retrospectively evaluated. Results: Percutaneous metallic stent placement via the blind end of the jejunal limb was successfully achieved in all six procedures. Additional metallic stent placement was performed due to tumor ingrowth in a patient. Drainage catheters were removed from three patients, clamped in one, and could not be removed in one. Clinical success was achieved in four patients (80%) without major complications. Conclusion: Percutaneous metallic stent placement for malignant afferent loop syndrome via the blind end of the jejunal limb after biliary reconstruction could be a safe and effective procedure.
#Afferent loop syndrome #Radiology #interventional #Self expandable metallic stents

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참고문헌 (18)

참고문헌 신청
Pannala R / 2011 / Afferent limb syndrome and delayed GI problems after pancreaticoduodenectomy for pancreatic cancer: single-center, 14-year experience / Gastrointest Endosc 74:295~302 google schola Kozarek RA / 2016 / Endoscopic approaches to afferent and Roux-en-Y limb obstruction / Gastrointest Interv 5:124~128 google schola Yao NS / 1998 / Percutaneous transhepatic duodenal drainage as an alternative approach in afferent loop obstruction with secondary obstructive jaundice in recurrent gastric cancer / Cardiovasc Intervent Radiol 21:350~353 google schola Han K / 2012 / Afferent loop syndrome: treatment by means of the placement of dual stents / AJR Am J Roentgenol 199:W761~W766 google schola Morita S / 1989 / Septic shock after percutaneous transhepatic drainage of obstructed afferent loop: case report / Cardiovasc Intervent Radiol 12:66~68 google schola

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