What are the causes of afferent loop syndrome?
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.
What are the complications of afferent loop syndrome?
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.
What causes a loop in the small intestine?
Blind loop syndrome occurs when food doesn’t follow the normal digestion route and bypasses a section of your intestine. It can be caused by abdominal surgery, diverticulitis, inflammatory bowel disease, peptic ulcer disease, or an infection.
What is a Roux-en-Y Gastrojejunostomy?
The Roux-en-Y gastrojejunostomy is the best reconstruction method that prevents reflux gastritis, esophagitis, and carcinogenesis of the gastric remnant [3].
What is Billroth II Gastrojejunostomy?
Billroth II gastrojejunostomy is a procedure that has been performed for tumor or severe ulcer disease in the distal stomach.
Why does anemia occur after gastrectomy?
Complications of post-gastrectomy syndrome include anemia as a result of vitamin B12 or iron malabsorption and osteoporosis. These problems generally occur months or even years after gastric surgery.
How do you treat small bowel loops?
Treatment includes intravenous (in the vein) fluids, bowel rest with nothing to eat (NPO), and, sometimes, bowel decompression through a nasogastric tube (a tube that is inserted into the nose and goes directly to the stomach). Anti-emetics: Medications may be required to relieve nausea and vomiting.
What is a loop gastrojejunostomy?
Gastrojejunostomy is a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum. This is usually done either for the purpose of draining the contents of the stomach or to provide a bypass for the gastric contents.
Is gastrojejunostomy major surgery?
A gastrojejunostomy is a minimally invasive procedure in which a long catheter-like tube (called a gastrojejunostomy tube) is inserted through your abdomen and into your small intestine.
Why do you need B12 after gastrectomy?
People who have had a total gastrectomy will need to supplement their diet with regular vitamin B12 injections. Two components necessary for vitamin B12 absorption, gastric acid and intrinsic factor, are less available or not available at all with the removal or all or part of the stomach.
How long can you live after gastrectomy?
Five-year overall survival and disease-free survival was 61% and 60% for group A, 50% and 43% for group B respectively. Gastrectomy should be carefully considered in patients 70 years old and can be justified with low mortality and acceptable long-term outcomes.
What does gastrojejunostomy mean medically?
(GAS-troh-JEH-joo-NOS-toh-mee) A surgical procedure that connects part of the stomach to the jejunum (the middle part of the small intestine).
Is gastrojejunostomy a major surgery?
Laparoscopic Gastrojejunostomy is a minimal invasive surgical procedure with few small incisions in the abdominal area. During the surgery a part of the small intestine known as the jejunum is opened and stitched or clipped on to the stomach wall to bypass the obstructed area of stomach.
What is afferent loop syndrome of gastrojejunostomy?
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. It can be seen after:
What is efferent loop syndrome?
Efferent Loop Syndrome. What is efferent loop syndrome? Efferent loop syndrome is one of two “loop syndromes” that can happen after some types of gastric surgery. In a loop syndrome, a portion or “limb” of the small intestine becomes blocked. Of the two types of loop syndromes, the other type, afferent loop syndrome, is the more common.
What is the afferent loop in gastric bypass surgery?
Following a Billroth II reconstruction, the afferent loop is comprised of the gastric/duodenal stump, duodenum, and the short segment of jejunum proximal to the gastrojejunostomy. Following Roux-en-Y gastric bypass, the biliopancreatic limb remains connected to the remnant stomach and is anastomosed distally via jejunojejunostomy.
Should patients undergoing Roux-en-Y surgery be counseled about afferent loop syndrome?
Although rare, patients undergoing Billroth II, Roux-en-Y, pancreaticoduodenectomy, and related procedures should receive counsel on the risk of afferent loop syndrome before surgery. These patients should be directed to seek emergent care should they develop symptoms of acute afferent loop syndrome. Enhancing Healthcare Team Outcomes