Successful treatment of remnant gastric cancer with afferent loop syndrome managed by percutaneous transhepatic cholangial drainage followed by elective gastrectomy: a case report

Surgical Case Reports

Table 1 Reported cases of afferent loop syndrome caused by remnant gastric cancer

No.	Year	Fist author	Reason for gastrectomy	Reconstruction	Braun’s anastomosis	Onset time from the first operation	Obstruction of the afferent loop	Treatment	Postoperative complications	Prognosis (months, cause)	References
1	1984	Elyaderani	N/A	Billroth II	N/A	N/A	N/A	N/A	N/A	N/A	[9]
2	2001	Chevallier	Benign ulcer	Billroth II	N/A	31 years	Complete	–	–	Death (shortly after diagnosis, sepsis)	[10]
3	2006	Yazus	Benign ulcer	Billroth II	None	40 years	Incomplete	Operation	None	N/A	[11]
4	2013	Kawaoka	Gastric carcinoma	Billroth II	N/A	40 years	Incomplete	Operation	N/A	Death (4 months, recurrence)	[12]
5	2015	Sahin	Benign ulcer	Billroth II	None	47 years	Incomplete	Operation	Anastomotic leakage	N/A	[13]
6	2018	Cha	Benign ulcer	Billroth II	None	N/A	Incomplete	PTCD	–	Death (4 months, disease progression)	[14]
–	2021	Aoyama	Benign ulcer	Billroth II	None	43 years	Complete	PTCD → operation	Adhesive intestinal obstruction	Death (8 months, recurrence)	–

Our case was the first case in which elective surgery was performed after the management of afferent loop syndrome by PTCD. In many cases, the onset time of the former operation was more than 30 years