Refractory Afferent Loop Problems: Percutaneous Transhepatic Management of Two Cases
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Complications of the afferent loop are traditionally managed only by surgical revision. Transhepatic biliary drainage was used in the palliative treatment of two different afferent loop problems in critically ill patients for whom surgery was unsuccessful. Transcholecystic cholangiography was used to opacify the nondilated bile ducts and proved valuable for the transhepatic biliary catheterization procedure. There were no complications, and both patients showed clinical improvement.
Clinical management for malignant afferent loop obstruction.
Sakai A, Shiomi H, Masuda A, Kobayashi T, Yamada Y, Kodama Y World J Gastrointest Oncol. 2021; 13(7):684-692.
PMID: 34322197 PMC: 8299933. DOI: 10.4251/wjgo.v13.i7.684.
Cao Y, Kong X, Yang D, Li S Medicine (Baltimore). 2019; 98(28):e16475.
PMID: 31305482 PMC: 6641837. DOI: 10.1097/MD.0000000000016475.
Percutaneous jejunostomy through the liver parenchyma for palliation of afferent loop syndrome.
Kwon J, Han Y Jpn J Radiol. 2014; 33(1):39-42.
PMID: 25433418 DOI: 10.1007/s11604-014-0372-3.
An unusual cause of simultaneous common bile and pancreatic duct dilation.
Chhabra P, Rana S, Sharma V, Sharma R, Gupta R, Bhasin D Gastroenterol Rep (Oxf). 2014; 3(3):258-61.
PMID: 24939738 PMC: 4527257. DOI: 10.1093/gastro/gou032.
Septic shock after percutaneous transhepatic drainage of obstructed afferent loop: case report.
Morita S, Takemura T, Matsumoto S, Odani R Cardiovasc Intervent Radiol. 1989; 12(2):66-8.
PMID: 2472203 DOI: 10.1007/BF02577389.