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Postoperative State, Bowel
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Imaging

    TERMINOLOGY

    • Definitions

      • Enterotomy: Surgical entry of bowel to remove polyp, foreign body, etc. or to insert enteric tube
      • Enteroplasty: Surgical alteration of bowel, usually to open strictured segment
      • Plication: Alteration of bowel to relieve obstruction
      • Enterectomy: Resection of damaged or neoplastic segment of bowel
      • Colectomy: Resection of damaged or neoplastic segment of colon
      • Ostomy: Temporary or permanent opening of bowel onto surface of abdomen for feeding or drainage purposes

    IMAGING

    • General Features

      • Imaging Recommendations

        DIAGNOSTIC CHECKLIST

        • Image Interpretation Pearls

          Selected References

          1. Termsinsuk P et al: Diagnosis and treatment of the afferent loop syndrome. Clin J Gastroenterol. 13(5):660-8, 2020
          2. Theodorou CM et al: Total gastrectomy with delayed Hunt-Lawrence pouch reconstruction for neonatal gastric perforation presenting with hematemesis. J Pediatr Surg Case Rep. 63, 2020
          3. Hafezi-Nejad N et al: Imaging of post-operative pancreas and complications after pancreatic adenocarcinoma resection. Abdom Radiol (NY). 43(2):476-88, 2018
          4. Tonolini M et al: Elucidating early CT after pancreatico-duodenectomy: a primer for radiologists. Insights Imaging. 9(4):425-36, 2018
          5. Tonolini M et al: Early postoperative imaging after non-bariatric gastric resection: a primer for radiologists. Insights Imaging. 8(4):393-404, 2017
          6. Farinella E et al: Modified H-pouch as an alternative to the J-pouch for anorectal reconstruction. Colorectal Dis. 16(9):O332-4, 2014
          7. Sanada Y et al: Recurrent cholangitis by biliary stasis due to non-obstructive afferent loop syndrome after pylorus-preserving pancreatoduodenectomy: report of a case. Int Surg. 99(4):426-31, 2014
          8. Lee WY et al: Endoscopic treatment of efferent loop syndrome with insertion of double pigtail stent. World J Gastroenterol. 19(41):7209-12, 2013
          9. Hoda KM et al: Predictors of pouchitis after ileal pouch-anal anastomosis: a retrospective review. Dis Colon Rectum. 51(5):554-60, 2008
          10. Kiran RP et al: Complications and functional results after ileoanal pouch formation in obese patients. J Gastrointest Surg. 12(4):668-74, 2008
          11. Pfefferkorn U et al: Recurrent pancreatitis as only presenting symptom of intermittent small bowel obstruction after biliopancreatic diversion with duodenal switch. Surg Obes Relat Dis. 4(2):202-4, 2008
          12. Power N et al: CT assessment of anastomotic bowel leak. Clin Radiol. 62(1):37-42, 2007
          13. Crema MD et al: Pouchography, CT, and MRI features of ileal J pouch-anal anastomosis. AJR Am J Roentgenol. 187(6):W594-603, 2006
          14. Sandrasegaran K et al: CT findings for postsurgical blind pouch of small bowel. AJR Am J Roentgenol. 186(1):110-3, 2006
          15. Sandrasegaran K et al: CT of acute biliopancreatic limb obstruction. AJR Am J Roentgenol. 186(1):104-9, 2006
          16. Sandrasegaran K et al: Small-bowel complications of major gastrointestinal tract surgery. AJR Am J Roentgenol. 185(3):671-81, 2005
          17. Hui GC et al: Small-bowel intussusception around a gastrojejunostomy tube resulting in ischemic necrosis of the intestine. Pediatr Radiol. 34(11):916-8, 2004
          18. Blake MF et al: Intestinal obstruction following biliopancreatic diversion. Dig Dis Sci. 48(4):737-40, 2003
          19. Kim HC et al: Afferent loop obstruction after gastric cancer surgery: helical CT findings. Abdom Imaging. 28(5):624-30, 2003
          20. Carucci LR et al: Evaluation of patients with jejunostomy tubes: imaging findings. Radiology. 223(1):241-7, 2002
          21. Gayer G et al: CT diagnosis of afferent loop syndrome. Clin Radiol. 57(9):835-9, 2002
          22. Alfisher MM et al: Radiology of ileal pouch-anal anastomosis: normal findings, examination pitfalls, and complications. Radiographics. 17(1):81-98; discussion 98-9, 1997
          23. Lee DH et al: Afferent loop syndrome: sonographic findings in seven cases. AJR Am J Roentgenol. 157(1):41-3, 1991
          24. Ghahremani GG et al: Nasoenteric feeding tubes. Radiographic detection of complications. Dig Dis Sci. 31(6):574-85, 1986
          Related Anatomy
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          Related Differential Diagnoses
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          References
          Tables

          Tables

          KEY FACTS

          • Imaging

            TERMINOLOGY

            • Definitions

              • Enterotomy: Surgical entry of bowel to remove polyp, foreign body, etc. or to insert enteric tube
              • Enteroplasty: Surgical alteration of bowel, usually to open strictured segment
              • Plication: Alteration of bowel to relieve obstruction
              • Enterectomy: Resection of damaged or neoplastic segment of bowel
              • Colectomy: Resection of damaged or neoplastic segment of colon
              • Ostomy: Temporary or permanent opening of bowel onto surface of abdomen for feeding or drainage purposes

            IMAGING

            • General Features

              • Imaging Recommendations

                DIAGNOSTIC CHECKLIST

                • Image Interpretation Pearls

                  Selected References

                  1. Termsinsuk P et al: Diagnosis and treatment of the afferent loop syndrome. Clin J Gastroenterol. 13(5):660-8, 2020
                  2. Theodorou CM et al: Total gastrectomy with delayed Hunt-Lawrence pouch reconstruction for neonatal gastric perforation presenting with hematemesis. J Pediatr Surg Case Rep. 63, 2020
                  3. Hafezi-Nejad N et al: Imaging of post-operative pancreas and complications after pancreatic adenocarcinoma resection. Abdom Radiol (NY). 43(2):476-88, 2018
                  4. Tonolini M et al: Elucidating early CT after pancreatico-duodenectomy: a primer for radiologists. Insights Imaging. 9(4):425-36, 2018
                  5. Tonolini M et al: Early postoperative imaging after non-bariatric gastric resection: a primer for radiologists. Insights Imaging. 8(4):393-404, 2017
                  6. Farinella E et al: Modified H-pouch as an alternative to the J-pouch for anorectal reconstruction. Colorectal Dis. 16(9):O332-4, 2014
                  7. Sanada Y et al: Recurrent cholangitis by biliary stasis due to non-obstructive afferent loop syndrome after pylorus-preserving pancreatoduodenectomy: report of a case. Int Surg. 99(4):426-31, 2014
                  8. Lee WY et al: Endoscopic treatment of efferent loop syndrome with insertion of double pigtail stent. World J Gastroenterol. 19(41):7209-12, 2013
                  9. Hoda KM et al: Predictors of pouchitis after ileal pouch-anal anastomosis: a retrospective review. Dis Colon Rectum. 51(5):554-60, 2008
                  10. Kiran RP et al: Complications and functional results after ileoanal pouch formation in obese patients. J Gastrointest Surg. 12(4):668-74, 2008
                  11. Pfefferkorn U et al: Recurrent pancreatitis as only presenting symptom of intermittent small bowel obstruction after biliopancreatic diversion with duodenal switch. Surg Obes Relat Dis. 4(2):202-4, 2008
                  12. Power N et al: CT assessment of anastomotic bowel leak. Clin Radiol. 62(1):37-42, 2007
                  13. Crema MD et al: Pouchography, CT, and MRI features of ileal J pouch-anal anastomosis. AJR Am J Roentgenol. 187(6):W594-603, 2006
                  14. Sandrasegaran K et al: CT findings for postsurgical blind pouch of small bowel. AJR Am J Roentgenol. 186(1):110-3, 2006
                  15. Sandrasegaran K et al: CT of acute biliopancreatic limb obstruction. AJR Am J Roentgenol. 186(1):104-9, 2006
                  16. Sandrasegaran K et al: Small-bowel complications of major gastrointestinal tract surgery. AJR Am J Roentgenol. 185(3):671-81, 2005
                  17. Hui GC et al: Small-bowel intussusception around a gastrojejunostomy tube resulting in ischemic necrosis of the intestine. Pediatr Radiol. 34(11):916-8, 2004
                  18. Blake MF et al: Intestinal obstruction following biliopancreatic diversion. Dig Dis Sci. 48(4):737-40, 2003
                  19. Kim HC et al: Afferent loop obstruction after gastric cancer surgery: helical CT findings. Abdom Imaging. 28(5):624-30, 2003
                  20. Carucci LR et al: Evaluation of patients with jejunostomy tubes: imaging findings. Radiology. 223(1):241-7, 2002
                  21. Gayer G et al: CT diagnosis of afferent loop syndrome. Clin Radiol. 57(9):835-9, 2002
                  22. Alfisher MM et al: Radiology of ileal pouch-anal anastomosis: normal findings, examination pitfalls, and complications. Radiographics. 17(1):81-98; discussion 98-9, 1997
                  23. Lee DH et al: Afferent loop syndrome: sonographic findings in seven cases. AJR Am J Roentgenol. 157(1):41-3, 1991
                  24. Ghahremani GG et al: Nasoenteric feeding tubes. Radiographic detection of complications. Dig Dis Sci. 31(6):574-85, 1986