Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
J Hepatobiliary Pancreat Sci. 2022 Jul;29(7):e65-e67. doi: 10.1002/jhbp.1132. Epub 2022 Apr 1.
Afferent loop syndrome is a late adverse event after gastrojejunostomy which involves increased intraluminal pressure, progresses rapidly, and requires appropriate decompression treatment. Patients in poor condition require less invasive treatments. Yamamoto and colleagues report a case of successful treatment of malignant afferent loop syndrome with hemorrhage by endoscopic ultrasound-guided gastrojejunostomy.
Afferent loop syndrome 是胃空肠吻合术后的一种晚期不良反应,涉及腔内压力增加,进展迅速,需要进行适当的减压治疗。身体状况不佳的患者需要采用侵袭性较小的治疗方法。Yamamoto 及其同事报告了一例通过内镜超声引导下胃空肠造口术成功治疗出血性恶性输入袢综合征的病例。