Endoscopic ultrasound-guided gastroenterostomy using a novel dumbbell-shaped fully covered metal stent for afferent loop syndrome with long interluminal distance

Shiomi, Hideyuki; Nakano, Ryota; Ota, Shogo; Iijima, Hiroko

doi:10.1055/a-1997-9382

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…On the other hand, FCSEMSs may be at higher risk of migration than LAMSs and DPPSs due to the lack of reliable anti-migration properties. To prevent FCSEMS migration, coaxial placement of a DPPS [8] in a FCSEMS or the use of a FCSEMS with flares [19] has been reported.…”

Section: Of 10mentioning

confidence: 99%

Endoscopic Ultrasound-Guided Gastrojejunostomy for Malignant Afferent Loop Syndrome Using a Fully Covered Metal Stent: A Multicenter Experience

Matsubara

Takahashi

Takahara

et al. 2023

JCM

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Background: Endoscopic-ultrasound-guided gastrojejunostomy (EUS-GJ) can be a new alternative for patients with malignant afferent loop syndrome (MALS). However, a fully covered self-expandable metal stent (FCSEMS) has not been well investigated in this setting. Methods: This is a multicenter retrospective cohort study. Consecutive patients that underwent EUS-GJ using a FCSEMS for MALS between April 2017 and November 2022 were enrolled. Primary outcomes were technical and clinical success rates. Secondary outcomes were adverse events, recurrent symptoms, and overall survival. Results: Twelve patients (median age: 67.5 years (interquartile range: 58–74.8); 50% male) were included. The most common primary disease and type of previous surgery were pancreatic cancer (67%) and pancreatoduodenectomy (75%), respectively. Technical success and clinical success were achieved in all patients. Procedure-related adverse events occurred in one patient (8%) with mild peritonitis. During a median follow-up of 96.5 days, one patient (8%) had recurrent symptoms due to the EUS-GJ stent dysfunction; including biliary events unrelated to the EUS-GJ stent, five patients (42%) had recurrent events. The median overall survival was 137 days. Nine patients (75%) died due to disease progression. Conclusions: EUS-GJ with a FCSEMS seems safe and effective for MALS with high technical and clinical success rates and an acceptable recurrence rate.

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Section: Of 10mentioning

confidence: 99%

Endoscopic Ultrasound-Guided Gastrojejunostomy for Malignant Afferent Loop Syndrome Using a Fully Covered Metal Stent: A Multicenter Experience

Matsubara

Takahashi

Takahara

et al. 2023

JCM

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Endoscopic ultrasound‐guided gastrointestinal anastomosis: Are we there yet?

Dhir,

Jaurrieta‐Rico,

Singh

2024

Digestive Endoscopy

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Endoscopic ultrasound (EUS) is increasingly used as a therapeutic approach for gastrointestinal diseases, especially with the advent of lumen‐apposing metal stents (LAMS). This has led to a rise in of EUS‐guided gastrointestinal anastomosis procedures. Due to the reliability of intestinal conduits with LAMS, indications for EUS‐guided gastrointestinal anastomosis are becoming more common and trend to potentially be standard care for gastric outlet obstruction, afferent loop syndrome, and EUS‐directed transgastric interventions such as EUS‐directed endoscopic retrograde cholangiopancreatography. Retrospective and prospective data indicate that the procedure is becoming widely adopted with promising outcomes. This article aims to review the existing literature on EUS‐guided gastrointestinal anastomosis and predict its future developments.

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Endoscopic ultrasound-guided gastroenterostomy using a novel dumbbell-shaped fully covered metal stent for afferent loop syndrome with long interluminal distance

Cited by 2 publications

References 6 publications

Endoscopic Ultrasound-Guided Gastrojejunostomy for Malignant Afferent Loop Syndrome Using a Fully Covered Metal Stent: A Multicenter Experience

Endoscopic Ultrasound-Guided Gastrojejunostomy for Malignant Afferent Loop Syndrome Using a Fully Covered Metal Stent: A Multicenter Experience

Endoscopic ultrasound‐guided gastrointestinal anastomosis: Are we there yet?

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