Case Report
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World J Gastroenterol. Nov 7, 2013; 19(41): 7209-7212
Published online Nov 7, 2013. doi: 10.3748/wjg.v19.i41.7209
Endoscopic treatment of efferent loop syndrome with insertion of double pigtail stent
Woo Yong Lee, Jeong Seop Moon
Woo Yong Lee, Department of Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul 100-032, South Korea
Jeong Seop Moon, Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul 100-032, South Korea
Author contributions: Lee WY, Moon JS were attending doctors for the patient; Lee WY performed surgical operation; Moon JS performed endoscopic procedure; Lee WY, Moon JS organized report and wrote paper.
Correspondence to: Jeong Seop Moon, MD, Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, 85 Jeo-Dong 2-ga, Jung-Gu, Seoul 100-032, South Korea. moonjs2@unitel.co.kr
Telephone: +82-2-2270-0247 Fax: +82-2-2270-0250
Received: July 1, 2013
Revised: September 4, 2013
Accepted: September 15, 2013
Published online: November 7, 2013
Processing time: 138 Days and 8.4 Hours
Core Tip

Core tip: We report the successful treatment of a patient with efferent loop syndrome by implantation of a double pigtail stent. Efferent loop syndrome is a very rare postgastrectomy syndrome that can occur following Billroth-II or Roux-en-Y reconstruction. Surgical treatment is usually required. However, in this case, efferent loop obstruction was successfully resolved by the insertion of a double pigtail stent. A double pigtail stent should be considered a treatment option for relieving efferent loop obstruction if immediate surgical treatment is not required.