scholarly journals An Unusual Presentation of Obstructive Jaundice Due to Dilated Proximal Small Bowel Loops After Gastrojejunostomy: Afferent Loop Syndrome

Cureus ◽  
2022 ◽  
Author(s):  
Mahrukh Ali ◽  
Om Parkash ◽  
Jehanzeb Shahid
Keyword(s):  
Small Bowel ◽  
Obstructive Jaundice ◽  
Unusual Presentation ◽  
Afferent Loop ◽  
Afferent Loop Syndrome ◽  
Proximal Small Bowel

OBSTRUCTIVE JAUNDICE SECONDARY TO “AFFERENT LOOP SYNDROME” IN A PATIENT WITH ENDOSCOPIC GASTROJEJUNOSTOMY RESOLVED BY EUS-GUIDED HEPATICOGASTROSTOMY

2018 ◽  
Author(s):  
DF Gómez Nussbaumer ◽  
J Martinez Sempere ◽  
L Compañy Catala ◽  
JA Casellas Valde ◽  
FA Ruiz ◽  
...  
Keyword(s):  
Obstructive Jaundice ◽  
Afferent Loop ◽  
Afferent Loop Syndrome

scholarly journals Case 1: Afferent loop syndrome.

1998 ◽  
Vol 171 (3) ◽  
pp. 852-852 ◽  
Author(s):  
M Doherty ◽  
R S Perret
Keyword(s):  
Afferent Loop ◽  
Afferent Loop Syndrome

scholarly journals Measurement of hepatic insulin sensitivity early after the bypass of the proximal small bowel in humans

2016 ◽  
Vol 3 (1) ◽  
pp. 95-98 ◽  
Author(s):  
A. D. Miras ◽  
R. Herring ◽  
A. Vusirikala ◽  
F. Shojaee‐Moradi ◽  
N. C. Jackson ◽  
...  
Keyword(s):  
Insulin Sensitivity ◽  
Small Bowel ◽  
Hepatic Insulin Sensitivity ◽  
Proximal Small Bowel

An unusual presentation of neuroendocrine tumor of the small bowel

2012 ◽  
Vol 65 (4) ◽  
pp. 321-323
Author(s):  
Michele Tedeschi ◽  
Giuseppe Piccinni ◽  
Germana Lissidini ◽  
Angela Gurrado ◽  
Domenico Piscitelli ◽  
...  
Keyword(s):  
Small Bowel ◽  
Neuroendocrine Tumor ◽  
Unusual Presentation

1074 Gallstone Ileus: Two Decades After Cholecystectomy

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
K Matwala ◽  
M R Iqbal ◽  
T Shakir ◽  
D W Chicken
Keyword(s):  
Small Bowel ◽  
Bowel Obstruction ◽  
Rare Complication ◽  
Open Cholecystectomy ◽  
Gallstone Ileus ◽  
Proximal Small Bowel ◽  
Solid Diet ◽  
History Of ◽  
Ileocaecal Junction ◽  
Tomography Scan

Abstract Introduction Gallstone ileus is a rare complication of gallstones that occurs in 1%-4% of all cases of bowel obstruction. We present a surprising case of gallstone ileus causing small bowel obstruction 19 years after open cholecystectomy. Case Report A 77-year-old male presented with a 3-day history of abdominal pain, 4 episodes of vomiting and absolute constipation. He had a surgical background of an open cholecystectomy and open appendicectomy 19 years and 45 years ago respectively. Medically, he had well-controlled hypertension and experienced a TIA 5 years prior. Computed Tomography Scan of the abdomen and pelvis revealed features consistent with an obstructing, heterogenous opacity in the distal small bowel without pneumobilia. The patient subsequently underwent diagnostic laparoscopy. Intraoperatively, an obstructing gallstone, measuring 4 cm, was found 50cm proximal to the ileocaecal junction, with dilatation of the proximal small bowel and distal collapse. Enterotomy and removal of the stone was done. Post-operatively, this gentleman recovered without complications and was discharged home two days later after being able to tolerate a solid diet. Conclusions This is the second reported case of gallstone ileus in a patient with previous cholecystectomy about two decades ago, according to our literature search. Although extremely rare, absence of the gallbladder does not exclude the possibility of gallstone ileus.

Unusual presentation of Crohn’s disease

2021 ◽  
Vol 14 (6) ◽  
pp. e242703
Author(s):  
Kate Edwards ◽  
Karen Yearsley
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Wedge Resection ◽  
Rare Condition ◽  
Unusual Presentation ◽  
Protein Losing Enteropathy ◽  
Inflammatory Bowel ◽  
Alpha 1 Antitrypsin ◽  
Underlying Pathophysiology

A previously well 37-year-old woman attended the emergency assessment unit with symptoms of lethargy, breathlessness and peripheral oedema, whereby initial basic investigations revealed an iron deficiency anaemia and serum hypoalbuminaemia. The patient subsequently had multiple admissions to secondary care over a 2-year period due to worsening peripheral and central oedema. Investigations ruled out non-gastrointestinal causes of serum hypoalbuminaemia, such as renal, cardiac and hepatic failures. Gastrointestinal investigations later revealed raised faecal alpha-1 antitrypsin and small bowel ulceration on capsule endoscopy, with a histological diagnosis of Crohn’s disease made after a small bowel wedge resection. This case describes the unusual presentation of Crohn’s disease displaying symptoms primarily of protein-losing enteropathy, an uncommon and under-recognised consequence of inflammatory bowel disease. A review of current literature and the underlying pathophysiology for this rare condition are discussed, particularly in relation to Crohn’s disease.

Small intestinal motility in fasted and postprandial states: effect of transient vagosympathetic blockade

1987 ◽  
Vol 252 (3) ◽  
pp. G301-G308 ◽  
Author(s):  
S. A. Chung ◽  
N. E. Diamant
Keyword(s):  
Small Bowel ◽  
Intestinal Motility ◽  
Gastric Fundus ◽  
Phase Iii ◽  
Entire Small Bowel ◽  
Vagal Blockade ◽  
Small Intestinal Motility ◽  
Proximal Small Bowel ◽  
Small Intestinal ◽  
Gastric Contractions

We investigated vagal control of the migrating myoelectric complex (MMC) and postprandial pattern of the canine small intestine. Gastric and small intestinal motility were monitored in six conscious dogs. The vagosympathetic nerves, previously isolated in bilateral skin loops, were blocked by cooling. To feed, a meat-based liquid food was infused by tube into the gastric fundus. MMC phases I, II, III, and IV were observed in the fasted state. On feeding, the fed pattern appeared quickly in the proximal small bowel but was delayed distally. Vagal blockade abolished all gastric contractions and spiking activity as well as the small bowel fed pattern. During vagal blockade, the small bowel exhibited MMC-like migrating bursts of spikes in both the fasted and fed states. The migration and cycling of these bursts were not significantly different from the MMC, but the duodenal and jejunal phase II was absent or shortened. On termination of vagal blockade, normal fasting or fed activity reappeared but with a delay in the fed pattern distally. We conclude: the ileum is the least sensitive to vagal blockade; the fasting vagal influence is exerted primarily on phases I and II of the duodenal and jejunal MMC; the fed pattern throughout the entire small bowel is normally dependent upon vagal integrity; the phase III-like bursts of activity seen during vagal blockade likely represents the intrinsic small bowel MMC, which is vagally independent.

Primary Small Bowel Lymphoma Manifested as Obstructive Jaundice in a Patient With AIDS

1995 ◽  
Vol 88 (5) ◽  
pp. 583-585 ◽  
Author(s):  
HARALD L. SCHOEPPNER ◽  
DOMINIC K. WONG ◽  
ROBERT S. BRESALIER
Keyword(s):  
Small Bowel ◽  
Obstructive Jaundice ◽  
Primary Small Bowel
Sign in / Sign up

Export Citation Format

Share Document