ArticleWorld journal of gastrointestinal oncology2013
Management of afferent loop obstruction from recurrent metastatic pancreatic cancer using a venting gastrojejunostomy.
Article in World journal of gastrointestinal oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 12 citations in OpenAlex.
- Clinical management for malignant afferent loop obstruction.World journal of gastrointestinal oncology · 2021Review
- Diagnosis and treatment of the afferent loop syndrome.Clinical journal of gastroenterology · 2020Review
- A patient with abdominal pain and obstructive jaundice.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2018Article
- Metallic stent insertion with double-balloon endoscopy for malignant afferent loop obstruction.World journal of gastrointestinal endoscopy · 2015Article
- Hepatogastrostomy by EUS for malignant afferent loop obstruction after duodenopancreatectomy.Endoscopic ultrasoundArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pancreatic cancer is an aggressive malignancy potentially curable with surgical intervention. Following pancreaticoduodenectomy for suspected pancreatic head malignancy, patients have a high risk for both immediate and delayed problems due to surgical complications and recurrent disease. We report here a patient with pancreatic cancer treated with pancreaticoduodenectomy who developed recurrent disease resulting in obstruction of the afferent limb. The patient developed biliary obstruction and cholangitis at presentation. Her biliary tree failed to dilate which precluded safe percutaneous biliary decompression. During surgical exploration, she was found to have a dilated afferent limb at the level of the transverse mesocolon. The patient underwent decompression of the afferent limb as well as the biliary tree using a venting gastrojejunostomy to the blind loop. This represents a novel surgical approach for management of this complicated and difficult problem.
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Registered trials
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