Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2020; 8(21): 5353-5360
Published online Nov 6, 2020. doi: 10.12998/wjcc.v8.i21.5353
Treatment of afferent loop syndrome using fluoroscopic-guided nasointestinal tube placement: Two case reports
Hai-Tao Hu, Fu-Hai Ma, Zhen-Min Wu, Xiu-Heng Qi, Yu-Xin Zhong, Yi-Bin Xie, Yan-Tao Tian
Hai-Tao Hu, Fu-Hai Ma, Yu-Xin Zhong, Yi-Bin Xie, Yan-Tao Tian, Department of Pancreatic and Gastric Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Zhen-Min Wu, Xiu-Heng Qi, Department of Oncology, Hebei Petro China Central Hospital, Langfang 065000, Hebei Province, China
Author contributions: Hu HT collected and analyzed the data and drafted the manuscript; Wu ZM and Zhong YX provided clinical data; Tian YT and Qi XH designed the outline of the manuscript; Ma FH and Xie YB modified the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Supported by National Natural Science Foundation of China, No. 81772642; Capital’s Funds for Health Improvement and Research, No. CFH2018-2-4022; and Wu Jieping Medical Foundation, No. 320.6750.15276.
Informed consent statement: All study participants provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declared that they have no conflicts of interest to this work.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Tao Tian, MD, PhD, Professor, Surgeon, Department of Pancreatic and Gastric Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 17 Panjiayuan Nanli, Chaoyang District, Beijing 100021, China. tianyantao@cicams.ac.cn
Received: March 27, 2020
Peer-review started: March 27, 2020
First decision: September 24, 2020
Revised: September 27, 2020
Accepted: October 1, 2020
Article in press: October 1, 2020
Published online: November 6, 2020
Processing time: 223 Days and 23.3 Hours
Core Tip

Core Tip: Afferent loop syndrome (ALS) is a rare complication following recon-struction of the stomach or esophagus to the jejunum. Traditionally, surgery is the cornerstone of treatment. However, for patients in poor physical condition who develop ALS soon after the operation, a secondary surgery may not be appropriate. Here, we present two patients who were successfully treated with fluoroscopic-guided nasointestinal tube placement without stent insertion or surgery. With continuous negative pressure suction for approximately 20 d, both patients recovered well and were discharged from hospital after removal of the tube. At 3-mo follow-up, the patients showed no symptoms of ALS.