2020
DOI: 10.1016/j.vgie.2020.05.032
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Percutaneous- and EUS-guided gastroenterostomy for malignant afferent limb syndrome

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Cited by 3 publications
(2 citation statements)
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“…Often these patients are frail and malnourished with disseminated disease, a limited palliative Braun entero-entero bypass surgery is preferred over resection and reconstruction of the gastrojejunal anastomosis. 5 In summary, in this case, based on the preoperative imaging findings from the positrion emission tomography (PET) scan and CT scans (dilated proximal small bowel loops to the gastroenterostomy with dilated hepaticojejunostomy and intrahepatic ducts) and clinical presentation of cholangitis, it was clear that the metastatic disease at the anterior abdominal wall adjacent to the GJ was causing ALS. Least invasive procedures such as endoscopic stenting should first be attempted but failed in this instance.…”
Section: Images In…mentioning
confidence: 79%
“…Often these patients are frail and malnourished with disseminated disease, a limited palliative Braun entero-entero bypass surgery is preferred over resection and reconstruction of the gastrojejunal anastomosis. 5 In summary, in this case, based on the preoperative imaging findings from the positrion emission tomography (PET) scan and CT scans (dilated proximal small bowel loops to the gastroenterostomy with dilated hepaticojejunostomy and intrahepatic ducts) and clinical presentation of cholangitis, it was clear that the metastatic disease at the anterior abdominal wall adjacent to the GJ was causing ALS. Least invasive procedures such as endoscopic stenting should first be attempted but failed in this instance.…”
Section: Images In…mentioning
confidence: 79%
“…Case series also report successful reconstructions using this LAMS technique in postsurgical situations, such as afferent limb syndrome (Fig. 6) [108,109] or ileocolonostomy for small bowel obstruction [110,111]. Currently, the evidence for EUS-GE is still sparse with large prospective studies and randomized studies comparing the technique with duodenal stenting and surgical gastrojejunostomy lacking.…”
Section: Endoscopic Ultrasound-guided Gastroenterostomymentioning
confidence: 99%