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Clinical Journal of Gastroenterology
Published in: Clinical Journal of Gastroenterology 3/2010

01-06-2010 | Case Report

Acute afferent loop necrosis after Roux-en-Y cholangiojejunostomy

Authors: Daisuke Hashimoto, Tetsumasa Arita, Hideyuki Kuroki, Yutaka Motomura, Shinji Ishikawa, Atsushi Inayoshi, Naoko Udaka, Tadashi Tanoue, Masahiko Hirota, Yasushi Yagi, Hideo Baba

Published in: Clinical Journal of Gastroenterology | Issue 3/2010

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Abstract

Afferent loop necrosis after Roux-en-Y cholangiojejunostomy biliary reconstruction is rare. We present the case of a 36-year-old woman with acute necrotic afferent loop obstruction. The peripheral area of the Roux-en-Y limb, including the cholangiojejunostomy portion, was twisted just proximal to the cholangiojejunostomy. Cholangiojejunostomy was completely separated due to necrosis of the Roux-en-Y jejunum. In addition to the case report, we discuss features of cholangiojejunostomy that require special attention.
Literature
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Fleser P, Villalba M. Afferent limb volvulus and perforation of the bypassed stomach as a complication of Roux-en-Y gastric bypass. Obes Surg. 2003;13:453–6.CrossRefPubMed
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Metadata
Title
Acute afferent loop necrosis after Roux-en-Y cholangiojejunostomy
Authors
Daisuke Hashimoto
Tetsumasa Arita
Hideyuki Kuroki
Yutaka Motomura
Shinji Ishikawa
Atsushi Inayoshi
Naoko Udaka
Tadashi Tanoue
Masahiko Hirota
Yasushi Yagi
Hideo Baba
Publication date
01-06-2010
Publisher
Springer Japan
Published in
Clinical Journal of Gastroenterology / Issue 3/2010
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-010-0148-y

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