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Afferent Loop Syndrome 에 對한 臨床的 考察

Afferent Loop Syndrome

대한외과학회지 1970년 12권 6호 p.39 ~ 45
韓哲吉, 羅燾憲, 李燦泳,
소속 상세정보
韓哲吉 (  ) - 國立醫療院 一般外科
羅燾憲 (  ) - 國立醫療院 一般外科
李燦泳 (  ) - 國立醫療院 一般外科

Abstract


This report presents clinical observation and evaluation in 9 cases of afferent roop syndrome;)for
last 10 years from Oct. 1958 to Oct. 1968), 5 cases gastric resection with Billorth Ⅱ fashion in
N.M.C. and 4 cases, only gastrojunostomy in other place. (Table 1). In clinical course of above
cases, acute state of afferent loop sundrome developed within 12 th day following B-Ⅱ with gastric
resection and the type of only gastrojeejunostomy were chronic form from one month to 20 years
(Major table). 7 cases of all had made antecolic, antiperistalitic type and 4 of 5 gastric resected cases
were Polya type (Table 2). The symptome developed predominantley vomitting, nausea in association
with soft mass and abdominal destention in epigastrium (Table 3). In lab. data, 3 cases of hypona
tremia and 4 cases, hypopotassemia were observed (Table 4,5). Simple X-ray of abdomen suggested
the dialted afferent loop in 3 cases of B-Ⅱ fashion and all cases were confirmed by barium meals
except one which was re-evaluated the dialted afferent loop at surgery (Major table). Braun´s anas
tomosis were applied in 8 cases, among which 4 cases had gastric resection, with gastrojejunostomy
coincidently and one case was made jejunal transplanation betweeen stomach and deodenum because
of marked marginal ulcer (Major table).
We presumed that Braun´s anastomosis in B-Ⅱ fashion of stomach resection is prevented on afferent
loop syndrome.

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