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KMID : 0374920050260010177
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Inje Medical Journal
2005 Volume.26 No. 1 p.177 ~ p.182
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Acute Abdomen Caused by Complicated Afferent Loop Syndrome after Gastrectomy
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Jung Eun-Wook
Park Sung-Jae
Jee Sam-Ryong
Lee Youn-Jae
Lee Sang-Hyuk
Chung Jung-Myung
Park Ji-Hun
Seol Sang-Young
Je In-Soo
Park Eun-Taek
Kim Dong-Kie
Lee Young-Tae
Chai Doo-Geun
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Abstract
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Afferent loop syndrome is an uncommon complication of a gastrectomy and Billroth Ⅱ reconstruction. It may cause symtoms at any time from the first postoperative day to many years after the gastrectomy. Afferent loop syndrome is characterized by abdominal pain, vomiting and elevation of serum amylase. Thus, it is difficult to differentiate afferent loop syndrome from other cause of acute pancreatitis. However, the history of gastrectomy can be an important clue for diagnosing afferent loop syndrome. We experienced one case of chronic afferent loop syndrome with acute pancreatitis. After appropriate management, the abdominal pain disappeared and serum amylase level decreased. We report this case with a review of relevant literatures.
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KEYWORD
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Afferent Loop Syndrome, Acute pancreatitis, Gastrectomy
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