Percutaneous transhepatic duodenal drainage as an alternative approach in afferent loop obstruction with secondary obstructive jaundice in recurrent gastric cancer

Nai Shun Yao, Chew Wun Wu, Chui Mei Tiu, Jacqueline M. Liu, Jacqueline Whang-Peng, Li Tzong Chen

Research output: Contribution to journalArticlepeer-review

28 Citations (Scopus)

Abstract

Two cases are reported of chronic, partial afferent loop obstruction with resultant obstructive jaundice in recurrent gastric cancer. The diagnosis was made by characteristic clinical presentations, abdominal computed tomography, and cholescintigraphy. Percutaneous transhepatic duodenal drainage (PTDD) provided effective palliation for both afferent loop obstruction and biliary stasis. We conclude that cholescintigraphy is of value in making the diagnosis of partial afferent loop obstruction and in differentiating the cause of obstructive jaundice in such patients, and PTDD provides palliation for those patients in whom surgical intervention is not feasible.

Original languageEnglish
Pages (from-to)350-353
Number of pages4
JournalCardioVascular and Interventional Radiology
Volume21
Issue number4
DOIs
Publication statusPublished - Jul 1 1998
Externally publishedYes

Keywords

  • Afferent loop syndrome
  • Cholescintigraphy
  • Gastric cancer
  • Obstructive jaundice
  • Percutaneous transhepatic duodenal drainage

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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