Abductor Loop Syndrome

**Different loop syndrome** is one of the most common and dangerous complications of gastric and esophageal bypass surgery, such as gastrectomy (gastrectomy) or gastrostomy for gastroenterostomy. This is a consequence of the operation, which occurs due to a violation of the patency of one of the intestinal loops that take part in the passage of food towards the small intestine.

Efferent loop syndrome is the result of impaired flow of pancreatic secretions that cannot enter the small intestine due to blockage or obstruction of the efferent intestine. Since the pancreas works continuously, this effect can lead to various symptoms such as vomiting, nausea, pain, poor digestion, diarrhea or constipation.

**Causes of outlet loop syndrome:** - The gastroenterostomy tube accidentally becomes blocked during gastrointestinal surgery, which can lead to blockage of the outlet loops involved in digestion. This tube may be placed in the small intestine or behind the stomach, where it can only be passed through again after proper lavage. - Surgery on the gastrointestinal tract can cause volvulus, partial or complete, of one of the

Leaking bowel syndrome (leakage loop syndrome) is an emergency condition that manifests itself as difficulty eating and occurs as a result of a violation of the patency of the bowel loop being separated. In this article we will look at this complex pathological process and give recommendations for its treatment.

Symptoms of abductor syndrome

With diverting pipa syndrome, this syndrome manifests itself when a gastroedostomy is performed - the creation of a new gastric canal from part of the small intestine, which is removed into the stomach to restore the patient's nutrition - the syndrome manifests itself with the appearance of nausea and vomiting attacks after each meal, which causes a number of difficulties in processing food and can significantly reduce quality

Abducens loop syndrome and its causes

**Efferent loop syndrome (ELS)** is a late **complication** of gastric resection and gastroenterostomy (operation to remove part of the stomach and create a new intestine), caused by **impaired** **patency** of the efferent intestinal loop. At the same time, after the next portion of food eaten, nausea and vomiting occur. This condition can last for several hours or even days.

To understand the causes of abducens loop syndrome, it is necessary to understand what happens during the neurotransmission of impulses in the human digestive tract! In general, the human digestive system has two main functions: fermentation (stomach and intestines) and absorption of nutrients into the body (stomach). In order to properly absorb nutrients, the human body needs a number of regulatory mechanisms. One of them is the control of gastrointestinal motility, which allows food to move down to the colon in a certain time. This process is controlled by the central nervous system through the use of motor neurons in the spinal cord, as well as by autonomic nerves, the fibers that connect the central nervous system to the rest of the body. Therefore, in order for a patient with SOP to meet his need for food and fluid intake, his stomach must be constantly stimulated to continue motility. One of the causes of efferent loop syndrome may be **excessive gastrectomy**. During organ resection, doctors remove not only tumors, ulcers and other diseases, but also healthy areas of the gastric mucosa. This can lead to impaired gastrointestinal motility: the stomach cannot effectively move food to the small intestine, resulting in stagnation of gastric contents. This, in turn, leads to its contamination with bacteria and waste by-products that arise during the process of rotting food. When such waste flows back into the stomach, regurgitation occurs, which is the reverse movement of stomach contents from the stomach into the small intestine. Food moves on the walls of the small intestine - a product of the vital activity of microorganisms. The result is a so-called overdistension of the small intestine. And stretching of the intestinal wall eventually ends with SOP.

Also, one of the causes of the disorder may be **inadequate food** by the patient. Nutrients must enter the body in an orderly manner, otherwise gastrointestinal motility disorders will occur. For example, some foods can increase stomach acidity. During each attack of SOP, the following foods must be excluded from the diet: fatty foods, protein foods, alcohol.