Electrohydraulic Lithotripsy of an Impacted Enterolith Causing Acute Afferent Loop Syndrome
- Authors
- Cho, Young Sin; Lee, Tae Hoon; Hwang, Soon Oh; Lee, Sunhyo; Jung, Yunho; Chung, Il-Kwun; Park, Sang-Heum; Kim, Sun-Joo
- Issue Date
- Jul-2014
- Publisher
- 대한소화기내시경학회
- Keywords
- Afferent loop syndrome; Enterolith; Electrohydraulic lithotripsy
- Citation
- Clinical Endoscopy, v.47, no.4, pp 367 - 370
- Pages
- 4
- Journal Title
- Clinical Endoscopy
- Volume
- 47
- Number
- 4
- Start Page
- 367
- End Page
- 370
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/12079
- DOI
- 10.5946/ce.2014.47.4.367
- ISSN
- 2234-2400
2234-2443
- Abstract
- Afferent loop syndrome caused by an impacted enterolith is very rare, and endoscopic removal of the enterolith may be difficult if a stricture is present or the normal anatomy has been altered. Electrohydraulic lithotripsy is commonly used for endoscopic fragmentation of biliary and pancreatic duct stones. A 64-year-old man who had undergone subtotal gastrectomy and gastrojejunostomy presented with acute, severe abdominal pain for a duration of 2 hours. Initially, he was diagnosed with acute pancreatitis because of an elevated amylase level and pain, but was finally diagnosed with acute afferent loop syndrome when an impacted enterolith was identified by computed tomography. We successfully removed the enterolith using direct electrohydraulic lithotripsy conducted using a transparent cap-fitted endoscope without complications. We found that this procedure was therapeutically beneficial.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.