Verschlussikterus und akute Pankreatitis durch Obstruktion der zuführenden Schlinge nach Billroth-II-Resektion

Autor:	Strobl M, Funk S, Dinkhauser L, W. Kranewitter, B. Stadler, Wimmer L, Kalchmair H, G. Aschl, Peter Knoflach, Andreas Kirchgatterer
Rok vydání:	2002
Předmět:	medicine.medical_specialty Pancreatic disease business.industry Gastroenterology Anastomosis Jaundice medicine.disease Small intestine Surgery Volvulus medicine.anatomical_structure medicine Acute pancreatitis Pancreatitis medicine.symptom Complication business
Zdroj:	Zeitschrift für Gastroenterologie. 40:77-79
ISSN:	1439-7803 0044-2771
Popis:	An obstruction of the afferent loop after Billroth-II-resection is an extremely rare late complication of this procedure. We report on a 76-year-old female patient with a history of Billroth-II-resection 11 years ago who was admitted due to acute pancreatitis and obstructive jaundice. Abdominal sonography lead to the suspicion of a dilated afferent loop, which could be proven by means of magnetic resonance imaging. A tumorous lesion as cause of the obstructive jaundice was not detectable. Intraoperatively a volvulus of the small intestine and strangling adhesions near the Braun's anastomosis were seen, causing the obstruction of the afferent loop. Following reposition of the small intestine and adhesiolysis the patient gained a quick relief of symptoms and the jaundice disappeared completely.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::fcce906e43b9ff144f577fac08823e3e https://doi.org/10.1055/s-2002-20203 Zobrazit plný text záznamu