Acute Distension of Afferent Loop after Polya Gastrectomy

Abstract

Acute distension of the afferent loop is a rare complication of Polya gastrectomy which has always been attributed to an organic obstruction at the stoma. In some cases the nature of the obstruction has been clearly demonstrated. Thus, acute angulation at the stoma may arise from displacement of the afferent loop either behind the efferent loop (Quinn and Gifford, 1950) or in front of it (West, 1953), or from volvulus of the anastomosis (Hoyte et al., 1957).In the few reported cases which have arisen in the early post-operative period the cause of the distension has not been so convincingly shown