Efferent loop syndrome

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Classification according to ICD-10
K91.1 Syndromes of the operated stomach
ICD-10 online (WHO version 2019)

The Efferent-loop syndrome (syndrome of efferent loop) is a rare complication due to a partial removal of the stomach ( gastric resection ), which in particular after Billroth II operation or a Y-Roux anastomosis can occur. This leads to a stenosis of the efferent intestinal loop, usually a jejunum loop.

The main symptom is bilious vomiting of food after ingestion, followed by immediate freedom from symptoms.

The superior mesenteric vein syndrome , a duodenal stenosis caused by an atypical superior mesenteric vein , must be distinguished from the differential diagnosis.

literature

  • D. Borrelli, A. Borrelli, L. Presenti, C. Bergamini, G. Basili: La chirurgia delle sindromi funzionali dopo gastrectomia parziale. In: Annali italiani di chirurgia. Vol. 78, No. 1, 2007 Jan-Feb, pp. 3-10, ISSN  0003-469X . PMID 17518323 .
  • HD Becker: Postoperative Syndromes after Partial Gastric Resection. In: M. Allgöwer, F. Harder, LF Hollender, HJ Peiper, JR Siewert (eds.) Surgical gastroenterology . 1981, p. 500, doi: 10.1007 / 978-3-662-00618-4_57
  • GR Bodon, HK Ramanath: The gastrojejunostomy efferent loop syndrome. In: Surgery, Gynecology & Obstetrics . Vol. 134, No. 5, May 1972, pp. 777-780, ISSN  0039-6087 . PMID 4624199 .

Individual evidence

  1. ↑ Tab efferent loop syndrome
  2. ^ Roche Lexicon
  3. ↑ J. Hecht, C. Gruhn, MH Schoenberg: Vena mesenterica superior syndrome - a duodenal stenosis caused by an atypical course of the superior mesenteric vein. In: The surgeon; Journal for all areas of operative medicine. Vol. 72, No. 2, February 2001, pp. 186-189, ISSN  0009-4722 . PMID 11253680 .