Wu Jun, Chen Cui, Hu Bing
Department of Gastroenterology, Eastern Hepatobiliary Hospital Naval Military Medical University Shanghai China.
DEN Open. 2022 Jul 29;3(1):e156. doi: 10.1002/deo2.156. eCollection 2023 Apr.
Efferent loop syndrome is a very rare complication following pancreatoduodenectomy. The treatment of efferent loop syndrome varies depending on the cause of the syndrome. Conservative treatment methods, including nasogastric drainage and enteral nutrition, are adopted that are effective in most of patients; however, surgical treatment is usually required in patients with complete loop obstruction. Herein, we report a case of severe efferent loop obstruction that occurred after pancreatoduodenectomy, which was refractory to conservative treatment and successfully resolved by insertion of a fully covered self-expandable metal stent.
输出袢综合征是胰十二指肠切除术后一种非常罕见的并发症。输出袢综合征的治疗方法因综合征的病因不同而有所差异。采用包括鼻胃引流和肠内营养在内的保守治疗方法，对大多数患者有效；然而，对于完全性肠袢梗阻的患者通常需要手术治疗。在此，我们报告一例胰十二指肠切除术后发生的严重输出袢梗阻病例，该病例对保守治疗无效，通过置入全覆膜自膨式金属支架成功解决。
