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Afferent loop syndrome

Afferent Loop Syndrome Johns Hopkins Medicin

  1. al pain, nausea, and sudden vomiting of fluid with bile in it. Treatment is almost always surgery. For acute afferent loop syndrome, you may need emergency surgery
  2. Afferent loop syndrome is a problem that can occur after some kinds of stomach surgery. It's also known as afferent limb syndrome. The small intestine loop has 2 loops. The loop going to the upper stomach is the afferent loop. The loop carrying food away from the stomach is called the efferent loop. Afferent loop syndrome can occur after some types of gastrojejunostomy
  3. Afferent loop syndrome is an intermittent partial or complete mechanical obstruction of the afferent limb of a gastrojejunostomy. The syndrome classically refers to obstruction of the upstream limb of a side-to-side gastrojejunostomy but has also been used to refer to the biliopancreatic limb of a Roux-en-Y gastrojejunostomy
  4. The afferent loop syndrome The afferent loop syndromes result from obstruction to the afferent jejunal loop. Acute ALS results from complete obstruction, usually occurs early after surgery and runs a devastatingly lethal course unless promptly treated by reoperation. In chronic ALS the obstruction is intermittent and produces
  5. Afferent loop syndrome (ALS) is an uncommon mechanical complication that can occur after various upper gastrointestinal procedures involving anastomosis of the stomach or esophagus to the jejunum
  6. Afferent loop syndrome ( ALS) which is also known as afferent limb syndrome is a complication caused by a stomach surgery specifically following Billroth II gastrectomy procedure. If a person had or is about to have this procedure, one must be aware that afferent syndrome can possibly occur after the stomach surgery

Afferent loop syndrome (ALS) is a purely mechanical complication that infrequently occurs following the construction of a gastrojejunostomy. Creation of an anastomosis between the stomach and.. Afferent loop syndrome (ALS) is a mechanical complication that arises after gastric surgery with gastrojejunostomy reconstruction. This condition was first described in 1950 by Roux, Pedoussaut, and Marchal to post-gastrectomy patients with bilious vomiting Afferent loop syndrome is a problem that can occur after some kinds of stomach surgery. It's also known as afferent limb syndrome. It occurs when something traps the flow of digestive juices in the afferent loop. Fluid pressure builds up in the loop and causes discomfort and nausea

Afferent Loop Syndrome - Health Encyclopedia - University

From Wikipedia, the free encyclopedia Blind loop syndrome (BLS), also known as stagnant loop syndrome, is a state that occurs when the normal bacterial flora of the small intestine proliferates to numbers that cause significant derangement to the normal physiological processes of digestion and absorption Afferent loop syndrome (ALS) is caused by mechanical obstruction of the afferent loop of a double-barrel gastrojejunostomy (a). ALS may be surgically corrected by deconstructing the Billroth II gastrojejunostomy and restoring gastrointestinal continuity with a Roux-en-Y gastrojejunostomy (b) This activity reviews the etiology, evaluation, and management of afferent loop syndrome (ALS), with particular attention to the difference in management between benign and malignant etiologies. This activity highlights the role of the an interprofessional team in the diagnosis and expedient treatment of patients with this condition

Afferent loop syndrome Radiology Reference Article

Abstract. The efferent-loop syndrome in a narrow sense refers only to obstruction of the efferent jejunal loop after gastric resection or simple gastro-enterostomy; it occurs hours or years after operation and varies greatly in symptoms and chronicity (Fig. 37) Afferent loop obstruction, known as the afferent loop syndrome, is a mechanical problem resulting from the inability of this loop to empty its contents. A variety of causes can give rise to this syndrome, all resulting in partial obstruction of the afferent limb, as shown in Figure 60-6. The afferent limb is nearly always greater than 30 to 40.

The afferent loop syndrome - PubMe

Afferent loop syndrome occurs when something traps the flow of these juices in the afferent loop. Fluid pressure builds up in the afferent loop and causes discomfort and nausea. If the pressure builds up, the bile and pancreatic fluid may then empty into the upper stomach. This can cause symptoms such as vomiting Afferent Loop Syndrome. Afferent loop syndrome is a rare occurrence caused by obstruction of the afferent, or biliopancreatic, loop of a gastrojejunostomy reconstruction. The syndrome is produced by retention of bile and pancreatic secretions in the afferent loop Afferent loop syndrome: treatment by means of the placement of dual stents. Han K(1), Song HY, Kim JH, Park JH, Nam DH, Ryu MH, Yook JH. Author information: (1)Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap 2-dong, Songpa-gu, Seoul 138-736, Republic of Korea Afferent Loop Syndrome A type of postgastrectomy syndrome, caused by partial or complete obstruction of the proximal portion (loop) of a Billroth II anastomosis between the stomach and jejunum. In view of the vast changes in gastric ulcer management, this and other post-gastrectomy syndromes are of increasingly historic interest

Afferent loop syndrome is a rare complication after gastrectomy with Billroth II or Roux-en-Y reconstruction, caused by an obstruction in the proximal loop. The biliary stasis and bacterial overgrowth secondary to this obstruction can lead to repeated episodes of acute cholangitis Afferent loop syndrome (ALS) is a rare complication of a partial distal gastrectomy with Billroth II reconstruction. The condition can be difficult to diagnose and requires a high index of suspicion. We report the case of a patient who developed ALS after a Whipple procedure that was performed for an adenocarcinoma of the head of the pancreas

Afferent loop syndrome is a rare complication following a Billroth II procedure and is seen in 3/1000 cases. This case report shows the importance of radiological imaging in a patient with a past history of abdominal surgery, for which no records were available. Imaging showed incomplete annular pancreas, leading to narrowing of the second part of the duodenum, which was the indication for. in two patients with afferent loop syndrome. Because of the small sample size of the two patients in that report, further studies were needed to analyze the preferred method of stent insertion, as well as the clinical effec-tiveness of dual stents used to treat afferent loop syndrome. The purpose of this article is to assess th afferent fiber; afferent fibers; afferent glomerular arteriole; afferent glomerular arteriole of kidney; afferent loop syndrome; afferent lymphatic; afferent motor aphasia; afferent nerve; Afferent Nerve Stimulation Device; afferent nerves; afferent neuron; afferent neurone; afferent pathway; afferent tract; afferent vessel; Afferentation. Afferent loop syndrome (ALS) is an unusual complication, with a reporting incidence of 0.2% to 20%, that occurs after Billroth II gastrojejunostomy with partial gastrectomy. ALS is also an extremely rare complication of pancreaticoduodenectomy [ 1 ] Efferent loop syndrome is one of two loop syndromes that can happen after some types of gastric surgery. In a loop syndrome, part of the small intestine becomes blocked. The other type of loop syndrome is afferent loop syndrome, which is more common. Efferent loop syndrome is quite rare

Afferent Loop Syndrome Article - StatPearl

Afferent loop syndrome is a complication of certain types of stomach surgery Define afferent loop syndrome. afferent loop syndrome synonyms, afferent loop syndrome pronunciation, afferent loop syndrome translation, English dictionary definition of afferent loop syndrome. adj. Carrying inward to a central organ or section, as nerves that conduct impulses from the periphery of the body to the brain or spinal cord... Afferent-loop syndrome definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. Look it up now Afferent loop syndrome (ALS), a term first coined by Roux and co-workers in 1950, is an uncommon complication following construction of a Billroth II gastrojejunostomy. It occurs in approximately 0.3% of cases, and most are due to mechanical obstruction of the afferent loop [1-6] Afferent loop syndrome (ALS) is a purely mechanical complication that infrequently occurs following construction of a gastrojejunostomy. Creation of an anastomosis between the stomach and jejunum leaves a segment of small bowel, most commonly consisting of duodenum and proximal jejunum, lying upstream from the gastrojejunostomy

Click on the article title to read more Afferent loop syndrome (ALS) is caused by mechanical obstruction of the afferent loop of a double-barrel gastrojejunostomy

[A complication of gastrojejunostomy (billroth II procedure), a reconstructive gastroenterostomy. It is caused by acute (complete) or chronic (intermittent) obstruction of the afferent jejunal loop due to hernia, intussusception, kinking, volvulus, etc. It is characterized by pain and vomiting of bile-stained fluid., A complication of gastrojejunostomy (BILLROTH II PROCEDURE), a reconstructive. The afferent loop syndrome. Acta Chir Scand Suppl 1964; 327:7-149. Google Scholar; 10 Gale ME, Gerzof SG, Kiser LC, et al. CT appearance of afferent loop obstruction. AJR Am J Roentgenol 1982; 138:1085-1088. Crossref, Medline, Google Scholar; 11 Lee DH, Lim JH, Ko YT. Afferent loop syndrome: sonographic findings in seven cases Afferent loop syndrome is a rare complication of gastric surgery. An obstruction of the afferent limb can present in various ways. A 73-year-old man presented with one day of persistent abdominal pain, gradually radiating to the back. He had a history of total gastrectomy with a Roux-en-Y reconstruction. Abdominal computed tomography scan revealed dilation of the duodenum and small intestine. Afferent loop syndrome (ALS) is a complication of gastrojejunostomy (Billroth II reconstruction). It is caused by acute or chronic obstruction of the afferent jejunal loop due to hernia, intussusception, kinking, volvulus, etc. The choice of this type of reconstruction is actually very rare due to the multitude of complications that can happen This symptom-complex has been termed the afferent-loop syndrome. It is similar to the blind-loop syndrome seen with side-to-side intestinal anastomosis (4). Aspiration from the distended proximal limb yields a high bacterial count, with Gram-negative organisms predominating and resembling colonic flora in both quantity and quality (5, 6)

Article. Afferent loop syndrome. June 2004; Feuillets de Radiologie 44(3):187-19 Afferent Limb Syndrome . Afferent limb syndrome (also called 'afferent loop syndrome') is a complication following Billroth II gastrojejunostomy characterized by acute or chronic intermittent obstruction of the afferent jejunal limb. Causes include jejunal herniation, intussusception, kinking, volvulus, marginal ulceration, para-anastomotic stenosis, and adhesion formation Introduction: Afferent loop syndrome Description of Afferent loop syndrome. Afferent loop syndrome: A complication of gastrojejunostomy (BILLROTH II PROCEDURE), a reconstructive GASTROENTEROSTOMY.It is caused by acute (complete) or chronic (intermittent) obstruction of the afferent jejunal loop due to HERNIA, intussusception, kinking, VOLVULUS, etc.It is characterized by PAIN and VOMITING of. Afferent loop syndrome is a problem that can occur after some kinds of stomach surgery. It's also known as afferent limb syndrome. The small intestine loop has 2 loops. The loop going to the upper stomach is the afferent loop. The loop carrying food away from the stomach is called the efferent loop. Afferent loop syndrome can occur after some. Therapie eines Syndroms der zuführenden Schlinge mit Cholestase und Cholangitis mit LAMS (lumen-apposing metal stent). Somit ist eine Operation oder Drainage..

Afferent Loop Syndrome - Definition, Symptoms, Cause

  1. Afferent loop syndrome is a mechanical bowel obstruction (internal hernia, volvulus, stricturing, etc) that results in an effective biliary outlet obstruction. In a post-op Whipple patient, an acute afferent limb obstruction is especially concerning because there's a fresh bilary anastomosis potentially at risk
  2. The afferent loop syndromes result from obstruction to the afferent jejunal loop. Acute ALS results from complete obstruction, usually occurs early after surgery and runs a devastatingly lethal course unless promptly treated by reoperation. In chronic ALS the obstruction is intermittent and produces.
  3. [Afferent loop syndrome after gastrectomy]. PRAT D. Arch Urug Med Cir Espec, 50(1):79-104; discussion 104-7, 01 Jan 1957 Cited by: 0 articles | PMID: 13479311 [On the afferent loop syndrome in gastrectomized patients]. BALESTRA E, PODESTA AM. Minerva Med, 51:3501.
  4. Afferent loop syndrome (ALS) is a purely mechanical complication that infrequently occurs following the construction of a gastrojejunostomy. Creation of an anastomosis between the stomach and jejunum leaves a segment of the small bowel, most commonly consisting of the duodenum and proximal jejunum, lying upstream from the gastrojejunostomy
  5. Possible Afferent Loop Syndrome? Hello, My mom.. (66F, 5ft.0in.,110lb, non smoker, non drinker, Asian, pancreatic adenocarcinoma stage 2B, located in the US) has been in the hospital for 17 days following her whipple procedure on 12/22 to remove a 2.1 malignant mass from her pancreas head/neck region. The surgery itself was a success (clear.
  6. All seven subsequently were proved at surgery to have afferent loop syndrome. The causes of the obstruction included internal hernia (n = 3), cancer recurrence (n = 2), marginal ulcer (n = 1), and development of cancer at the anastomosis site (n = 1). In all cases, the dilated afferent loop was seen on sonography as a tubular structure in the.
(PDF) Magnetic resonance cholangiopancreatography for

Afferent Loop Syndrome is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings).Descriptors are arranged in a hierarchical structure, which enables searching at various levels of specificity Afferent loop syndrome is a rare complication of specific gastrointestinal (GI) surgical procedures, such as gastrojejunostomy and pancreaticoduodenectomy. A sudden onset of abdominal pain, vomiting and other GI symptoms is typical for acute forms, whereas months or even years may pass before chronic afferent loop syndrome starts producing symptoms. The diagnosis rests on identifying prior surgery and performing imaging studies, mainly computed tomography

Afferent Loop Syndrome Workup: Laboratory Studies

  1. Afferent loop syndrome (ALS) is an infrequent mechanical complication that occurs after reconstruction of Billroth-II (B-II) gastrojejunostomy or Roux-en-Y esophagojejunostomy. 1 Moreover, ALS can occur in any surgical procedure that includes anastomosis of the jejunum and stomach or esophagus, such as B-II gastrojejunostomy, Roux-en-Y gastrojejunostomy, Roux-en-Y esophagojejunostomy, and the Whipple procedure. 2 ALS is defined by dilatation of the afferent loop with accumulation of bile.
  2. Afferent loop syndrome (ALS) is a rare complication (0,2 - 1%) after gastric surgery. However it can be lethal if not treated properly. Its diagnosis is not easy and that usually delayed. Most of the times it complicates a Billroth II reconstruction following a subtotal gastrectomy or a even pancreaticoduodenectomy. A
  3. Afferent loop syndrome is a complication of certain types of stomach surgery. Menu. Pay Bill My HMH Record Pre-Register Health Link Career Center HMH Foundation Find a Provider Services.
  4. A complication of gastrojejunostomy (BILLROTH II PROCEDURE), a reconstructive GASTROENTEROSTOMY. It is caused by acute (complete) or chronic (intermittent) obstruction of the afferent jejunal loop due to HERNIA, intussusception, kinking, VOLVULUS, etc. It is characterized by PAIN and VOMITING of BILE-stained fluid
Post Gastrectomy Syndrome

What is afferent loop syndrome (ALS)? - Medscap

  1. al pain, nausea and vomiting in patients who have had a gastrojejunostomy and is diagnosed primarily by clinical suspicion. Whipple procedures are mainly used to treat patients with pancreatic head and periampullary tumors as well as for those with chronic pain syndrome
  2. Materials and Methods : Data from 13 consecutive patients who had undergone partially covered dual stent placement for afferent loop syndrome after various types of surgery were retrospectively analyzed. Nine patients underwent stent placement via the percutaneous transhepatic biliary drainage tract, and four patients underwent placement via.
  3. al defect (trocar site), with slight wall thickening and peripheral fat stranding of the incarcerated bowel loop
  4. Jump to: General, Art, Business, Computing, Medicine, Miscellaneous, Religion, Science, Slang, Sports, Tech, Phrases We found 2 dictionaries with English definitions that include the word afferent-loop syndrome: Click on the first link on a line below to go directly to a page where afferent-loop syndrome is defined

Diagnosis and treatment of the afferent loop syndrome

  1. Afferent loop syndrome is an uncommon complication following a Billroth II procedure and occurs in approximately 0.3% of cases . Most cases are due to mechanical obstruction of the afferent loop from adhesions, kinking at the anastomosis, internal hernia, stomal stenosis, malignancy, or inflammation surrounding the anastomosis
  2. Afferent limb syndrome is a relatively common adverse event after Whipple pancreatoduodenectomy, occurring in approximately 13% of cases.1 It may result from disease recurrence, angulation in the creation of the afferent limb, or the development of postoperative adhesions. The use of lumen-apposing metal stents (LAMSs) to decompress an obstructed afferent limb has been described in a handful.
  3. Meaning of Afferent Loop Syndrome. Information and translations of Afferent Loop Syndrome in the most comprehensive dictionary definitions resource on the web. Logi
  4. In the context of a patient with the appropriate surgical background (either given clinically or deduced by imaging evidence) presenting with epigastric discomfort, nausea or vomiting, the preferred imaging by multi-slice CT should allow accurate detection and rapid resolution of the afferent loop syndrome
  5. Afferent Loop Syndrome - UW Medicine Health Librar
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