{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:08:08Z","timestamp":1753862888904,"version":"3.41.2"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,7,20]],"date-time":"2023-07-20T00:00:00Z","timestamp":1689811200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100015045","name":"Kaohsiung Armed Forces General Hospital","doi-asserted-by":"publisher","award":["KAFGH_D_111049","KAFGH_D_112043"],"award-info":[{"award-number":["KAFGH_D_111049","KAFGH_D_112043"]}],"id":[{"id":"10.13039\/501100015045","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Temporal percutaneous transhepatic duodenum drainage (PTDD) seems to be effective in the treatment of postoperative afferent loop syndrome (ALS) following transverse loop colostomy for obstructive colorectal cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Management of obstructive colorectal cancer still remains a challenge. There are various options with different risks of mortality and mobility for obstructive colorectal cancer. A rare unexpected postoperative ALS following a low anterior resection and transverse loop colostomy for obstructive colorectal cancer is presented in this report. A 64\u2010year\u2010old man had the acute ALS had been noted 10\u2009days after transverse loop colostomy. An option was temporal PTDD treatment in the patient with history of Billroth's operation II for upper gastrointestinal bleeding 30\u2009years ago. Acute ALS was treated by temporal PTDD. The drainage tube for PTDD was not removed until closure of the transverse colostomy 2\u2009months later. The patient recovered uneventfully. Acute ALS after transverse loop colostomy for obstructive colorectal cancer is rare and has never been reported in the literature. The mechanism of acute ALS after construction of a loop colostomy and the treatment strategy of PTDD for acute ALS is presented.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.7725","type":"journal-article","created":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T03:47:55Z","timestamp":1689911275000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous transhepatic duodenal drainage is good option for afferent loop syndrome for obstructive colorectal cancer patient with history of Billroth's operation <scp>II<\/scp>: A case report of a rare postoperative complication"],"prefix":"10.1002","volume":"11","author":[{"given":"Tung\u2010Yuan","family":"Chen","sequence":"first","affiliation":[{"name":"Division of Colorectal Surgery, Department of Surgery Kaohsiung Armed Forces General Hospital  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chin\u2010Wen","family":"Hsu","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery Kaohsiung Armed Forces General Hospital  Kaohsiung City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yee\u2010Phoung","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Kaohsiung Armed Forces General Hospital  Kaohsiung City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min\u2010Tsung","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Radiology Kaohsiung Armed Forces General Hospital  Kaohsiung City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yueh\u2010Jung","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery, Department of Surgery Kaohsiung Armed Forces General Hospital  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching\u2010Hsien","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery, Department of Surgery Kaohsiung Armed Forces General Hospital  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuan\u2010Yu","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery, Department of Surgery Kaohsiung Armed Forces General Hospital  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tian\u2010Huei","family":"Chu","sequence":"additional","affiliation":[{"name":"Medical Laboratory, Medical Education and Research Center, Kaohsiung Armed Forces General Hospital  Kaohsiung City Taiwan"},{"name":"Institute of Medical Science and Technology, National Sun Yat\u2010sen University  Kaohsiung 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