Murakami Masahiro, Shimizu Junzo, Koga Chikato, Matsumura Tae, Kameda Chizu, Kawabata Ryohei, Hirota Masaki, Yoshikawa Masato, Noura Shingo, Kusumoto Yukihiro, Hirao Motohiro, Tsujii Masahiko, Hasegawa Junichi
Dept. of Surgery, Osaka Rosai Hospital.
Gan To Kagaku Ryoho. 2016 Nov;43(12):2190-2192.
We report a case of endoscopic stent placement to alleviate afferent loop syndrome following recurrence of pancreatic cancer. A 73-year-old man who had undergone pancreatic duodenectomy with portal vein resection for pancreatic cancer had developed a local recurrence and was treated with chemotherapy. He developed a high-grade fever and general fatigue, and laboratory data revealed anemia and a high inflammatory reaction; therefore, he was admitted to our hospital. CT scans revealed intestinal stenosis and upper dilatation, known as afferent loop syndrome, caused by the recurrence. We safely implanted a metallic stent(non-covered Niti-S stent, Century Medical, Inc.)at the point of intestinal stenosis using a double balloon endoscope. As the stent was adequately expanded and the afferent loop syndrome was relieved, the patient was discharged with a better quality of life and there were no complications associated with the stent until he died 6 months later.
