@article{oai:soar-ir.repo.nii.ac.jp:00004228,
 author = {浦川, 雅己 and 池野, 龍雄 and 古澤, 徳彦 and 市川, 英幸},
 issue = {6},
 journal = {信州医学雑誌},
 month = {Dec},
 note = {We report a case of afferent loop obstruction after distal gastrectomy. A 49-year-old woman with upper abdominal pain was admitted to our hospital. She had a past history of distal gastrectomy combined with Billroth Ⅱ　reconstruction without Braun anastomosis for gastric carcinoma and bilateral oophorectomy for ovarian metastases 10 months before this admission. Laboratory findings showed a high level of serum amylase and abdominal CT revealed severe dilatation of the afferent loop. Judging from these findings, we diagnosed this case as afferent loop obstruction after distal gastrectomy and performed emergency surgery. Torsion of the afferent loop made the intestinal tract lapse into necrosis, and partial resection of about 20 cm of the intestinal tract including the necrotic lesion was done. Exact preoperative diagnosis of afferent loop obstruction is very difficult as in this case. A high level of serum amylase and a characteristic CT with dilatation of the afferent loop may be useful diagnostic findings for this disease. In addition, it is said that too long or too short an afferent loop may cause this disease and Braun anastomosis may prevent it from occurring. In this case, a long afferent loop might have been the cause of the disease, and Braun anastomosis might have better been done to prevent it., Article, 信州医学雑誌 54(6): 401-405(2006)},
 pages = {401--405},
 title = {胃切除術後の輸入脚閉塞症の１例},
 volume = {54},
 year = {2006}
}