Afferent-Loop Strangulation Following Partial Gastrectomy

Acute Distension of Afferent Loop after Polya Gastrectomy

“…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. Wangensteen (1941) described a case in which a patient died on the second day after operation, and in which no causal obstruction was found at necropsy, althoughhe later suspected that there may have been kinking at the anastomosis from a slight forward rotation of the afferent loop.…”

“…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).…”