Afferent Loop Syndrome Questions & Answers

Updated: May 15, 2019
  • Author: Suresh Kumar Nayudu, MD; Chief Editor: BS Anand, MD  more...
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Questions & Answers

Overview

What is afferent loop syndrome (ALS)?

What is the anatomy relevant to afferent loop syndrome (ALS)?

What are the types of afferent loop syndrome (ALS)?

What is the pathophysiology of afferent loop syndrome (ALS)?

Which surgical procedures are associated with afferent loop syndrome (ALS)?

Which postgastrectomy syndromes are associated with afferent loop syndrome (ALS)?

What is the clinical onset of afferent loop syndrome (ALS)?

Which postoperative conditions cause afferent loop syndrome (ALS) in patients with gastrojejunostomy?

What are the risk factors for afferent loop syndrome (ALS)?

What is the prevalence of afferent loop syndrome (ALS)?

Which patient groups have the highest prevalence of afferent loop syndrome (ALS)?

What is the prognosis of afferent loop syndrome (ALS)?

What are the mortality rates of afferent loop syndrome (ALS)?

What are the possible complications of afferent loop syndrome (ALS)?

Presentation

Which clinical history findings are characteristic of acute afferent loop syndrome (ALS)?

Which clinical history findings are characteristic of chronic afferent loop syndrome (ALS)?

Which physical findings are characteristic of afferent loop syndrome (ALS)?

DDX

What is the disease course of untreated afferent loop syndrome (ALS)?

Which conditions should be considered in the differential diagnoses of afferent loop syndrome (ALS)?

What are the differential diagnoses for Afferent Loop Syndrome?

Workup

What is the role of a complete blood count (CBC) in the workup of afferent loop syndrome (ALS)?

What is the role of liver function and pancreatic enzyme testing in the workup of afferent loop syndrome (ALS)?

What is the role of an electrolyte panel in the workup of afferent loop syndrome (ALS)?

What is the role of serum albumin testing in the workup of afferent loop syndrome (ALS)?

What is the role of a carbon 14 xylose breath test in the workup of afferent loop syndrome (ALS)?

What is the role of imaging studies in the workup of afferent loop syndrome (ALS)?

What is the role of upper GI radiography in the workup of afferent loop syndrome (ALS)?

What is the role of plain abdominal radiography in the workup of afferent loop syndrome (ALS)?

What is the role of ultrasound in the workup of afferent loop syndrome (ALS)?

What is the role of hepatobiliary scintigraphy in the workup of afferent loop syndrome (ALS)?

What is the role of CT scanning in the workup of afferent loop syndrome (ALS)?

What is the role of MRI and MRCP in the workup of afferent loop syndrome (ALS)?

What is the role of upper endoscopy in the workup of afferent loop syndrome (ALS)?

What is the role of radiographic interventions in the treatment of afferent loop syndrome (ALS)?

Treatment

What is the role of medical therapy in the treatment of acute afferent loop syndrome (ALS)?

What is the role of medical therapy in the treatment of chronic afferent loop syndrome (ALS)?

How is afferent loop syndrome (ALS) treated?

Which specialist consultations are beneficial to the treatment of afferent loop syndrome (ALS)?

When is surgery indicated for afferent loop syndrome (ALS)?

What are the contraindications for the surgical treatment of afferent loop syndrome (ALS)?

What is included in the preoperative care of afferent loop syndrome (ALS)?

What is the role of Billroth I gastroduodenostomy in the treatment of afferent loop syndrome (ALS)?

What is the role of Roux-en-Y gastrojejunostomy in the treatment of afferent loop syndrome (ALS)?

Which surgical techniques have been used in the treatment of afferent loop syndrome (ALS)?

Which procedures are performed for the palliative treatment of afferent loop syndrome (ALS)?

What is the role of IV fluids following surgery to treat afferent loop syndrome (ALS)?

Which activity modifications are used in the treatment of afferent loop syndrome (ALS)?

Which dietary modifications are used in the treatment of afferent loop syndrome (ALS)?

How is a nasogastric tube managed following surgery to treat afferent loop syndrome (ALS)?

How is a Foley catheter managed following surgery to treat afferent loop syndrome (ALS)?

How is pulmonary toilet maintained following surgery to treat afferent loop syndrome (ALS)?

What is included in patient monitoring following surgery to treat afferent loop syndrome (ALS)?

What is the role of antibiotics following surgery to treat afferent loop syndrome (ALS)?

How is pain managed following surgery to treat afferent loop syndrome (ALS)?

What is the role of deep venous thrombosis prophylaxis following surgery to treat afferent loop syndrome (ALS)?

Which aspiration precautions are needed following surgery to treat afferent loop syndrome (ALS)?

What is included in the outpatient monitoring following surgery to treat afferent loop syndrome (ALS)?

How is gastric emptying monitored following surgery to treat afferent loop syndrome (ALS)?

How is altered gastric emptying following surgery to treat afferent loop syndrome (ALS) managed?

What is the role of hematopoiesis in the treatment of afferent loop syndrome (ALS)?