LAUSR

Afferent limb syndrome (ALS) is a postoperative complication following various gastrointestinal surgeries [1-3]. The traditional definitive treatment for ALS is surgical bypass [4]. However, in patients with poor medical condition, less invasive treatments are strongly desired. Percutaneous transhepatic biliary drainage (PTBD) is an alternative; however, it is difficult to perform for patients with bleeding tendency or without intrahepatic bile duct dilation. Herein, we describe a case of ALS-induced severe acute cholangitis in a patient with altered Roux-en Y anatomy successfully treated by emergency endoscopic drainage. This article is protected by copyright. All rights reserved.