{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T01:46:24Z","timestamp":1785375984318,"version":"3.55.0"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:00:00Z","timestamp":1715644800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Key Clinical Message<\/jats:title><jats:p>Afferent loop syndrome is a rare post\u2010operative complication following upper gastrointestinal bypass surgeries, usually occurring within the first two weeks post\u2010operation. This case report, however, outlines afferent loop syndrome almost a decade post\u2010surgery, which was managed conservatively. A 54\u2010year\u2010old woman presented with a few days' history of epigastric pain, vomiting, and constipation. She had undergone a sleeve gastrectomy and was converted to a Roux\u2010en\u2010Y gastrojejunostomy for weight loss 9 and 7\u2009years ago, respectively. Serum lipase was elevated at 1410\u2009IU\/L. Computed tomography showed high\u2010grade proximal small bowel obstruction, involving the efferent and afferent loops of the Roux\u2010en\u2010Y gastric bypass. The patient was given intravenous rehydration, electrolyte replacement and had a nasogastric tube inserted. She was discharged on day 5 of admission without significant sequelae. Afferent limb syndrome should be considered in patients with altered upper gastrointestinal anatomy who present with pancreatitis, regardless of the time period post\u2010operatively. Future guidelines should further more outline the factors indicated for surgical versus conservative management.<\/jats:p>","DOI":"10.1002\/ccr3.8627","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T03:39:15Z","timestamp":1715744355000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Afferent loop syndrome 7\u2010years post <scp>Roux\u2010en\u2010Y<\/scp> gastrojejunostomy: An often\u2010forgotten pancreatitis cause. 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