Rare chronic afferent loop syndrome causing partial small bowel obstruction after Bill Roth ii gastro jejunostomy: a case report

Abstract

Background: - chronic afferent loop syndrome is one of rare complication after Bill Roth II gastrojejunostomy. Surgical correction is must to avoid complications that come after conservative management. Most common complications of chronic afferent loop syndrome are sepsis, pancreatitis, cholangitis and ischemia of the afferent loop. Case presentation Here we are presenting 18 years old female patient presented with repeated episodes of bilious vomiting, nausea, epigastric discomfort and distension after her 90th post-truncal vagotomy and Bill Roth II gastrojejunostomy for gastric outlet obstruction secondary to peptic ulcer disease stricture. Braun’s corrective anastomosis done and the patient discharged with improvement. Now the patient was on follow up with no compliant. Conclusion Although rare to happen after Bill Roth II gastrojejunostomy reconstruction, it is better to consider chronic afferent loop syndrome irrespective of surgery done time for those who have bilious vomiting. Revision of the bypass surgery is must for chronic afferent loop syndrome to avoid serious complications.