Abstract
We report 3 cases of Y–loop obstruction after total gastrectomy and Roux–Y reconstruction. Case 1:A 64–year–old man seen for abdominal pain was found in computed tomography (CT) to have Y–loop dilation. Operative findings showed a stenotic jejunojejuno anastomosis, which was widened to eliminate the obstruction. Case 2:A 69–year–old seen for abdominal pain was found in CT to have Y–loop obstruction caused by an internal hernia. Operative findings showed a fistula at the back of the main loop, corrected by repositioning the intestine and fistula closure. Case 3:A 69–year–old man seen for nausea was found to have the Y–loop bent at the jejunal feeding tube insertion point. We reinserted it into the duodenal site. The tube drained the Y–loop contents, correcting the occlusion. Y–loop obstruction, while rare, may develop in many different situations, requiring prompt correction and careful checking via CT.
