A Simplified Surgical Bypass for Complete Afferent Loop Obstruction After Pancreaticoduodenectomy Guided by Afferent Loop Length: A Case Report
This case report demonstrates that a simplified surgical bypass involving a direct side-to-side anastomosis between the proximal afferent loop and distal jejunum is a safe and effective treatment for complete recurrent afferent loop obstruction after pancreaticoduodenectomy in patients with a proximal loop length exceeding 50 cm and single-site obstruction, offering an alternative to permanent external drainage when endoscopic intervention fails.