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KMID : 0914820040040030176
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Journal of the Korean Gastric Cancer Association
2004 Volume.4 No. 3 p.176 ~ p.179
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Perforated Afferent Loop Syndrome in a Patient with Recurrent Gastric Cancer: Non-Surgical Treatment with Percutaneous Transhepatic Duodenal Drainage and Endoscopic Stent
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Song Kyo-Young
Son Chang-Hee
Park Cho-Hyun
Kim Seung-Nam
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Abstract
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Surgical treatment for afferent loop syndrome (ALS) in patients with recurrent gastric cancer is usually not feasible because of the recurrent tumor mass at the anastomosis site and/or extensive carcinomatosis resulting in bowel loop fixation. Furthermore, ALS usually makes oral intake impossible, resulting in a rapid deterioration in general condition. In this situation, gastroscopic stenting at the anastomotic site and/or percutaneous external drainage may be a more feasible alternative for palliation. We herein report a recurrent gastric cancer whose ALS was successfully treated with internal and external drainage procedures.
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KEYWORD
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Afferent loop syndrome, Recurrent gastric cancer, Internal and external drainage
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