A Unique Variant of Afferent Limb Syndrome After Ileal Pouch-Anal Anastomosis: A Case Series and Review of the Literature

Hitoshi Ogawa, Sho Haneda, Kazuhiro Watanabe, Hideyuki Suzuki, Koh Miura, Shinobu Ohnuma, Hiroyuki Sasaki, Chikashi Shibata, Michiaki Unno

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Background: Afferent limb syndrome is a relatively rare cause of small bowel obstruction after restorative total proctocolectomy with ileal pouch-anal anastomosis for patients with ulcerative colitis or familial adenomatous polyposis. Discussion: This report describes three patients who developed recurrent small bowel obstruction after ileal pouch-anal anastomosis. The bowel obstruction was caused by torsion of the ileum at the inlet of the ileal J-pouch, which was thought to be a variant of afferent limb syndrome. This variant of afferent limb syndrome is characterized by a flexible afferent limb of the pelvic pouch due to the lack adhesion of the ileum in the abdominal cavity. Preoperative diagnosis required multiple series of contrast small bowel enemas. Strictureplasty and ileopexy effectively resolved the recurrent bowel obstruction caused by this variant of afferent limb syndrome.

Original languageEnglish
Pages (from-to)1581-1584
Number of pages4
JournalJournal of Gastrointestinal Surgery
Volume16
Issue number8
DOIs
Publication statusPublished - 2012 Aug

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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