Surgical bypass in malignant afferent loop syndrome

Tan, K. L.; Ng, Zi Qin; Navadgi, Suresh

doi:10.1136/bcr-2021-244559

Cited by 2 publications

(1 citation statement)

References 5 publications

(3 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Depending on the predisposing cause, treatment options include lysis of adhesions, reconstruction of anastomoses, excision of redundant loops, and resection of malignant lesions with anastomosis re-do. 18 , 19 Furthermore, surgery has a principal role in the management of benign etiologies of ALS with repair of the primary cause, often paired with reconstruction. 17 One exception is anastomotic ulcerations and associated strictures which may be managed endoscopically with balloon dilations.…”

Section: Non-endoscopic Treatmentmentioning

confidence: 99%

The Role of Endoscopic Management in Afferent Loop Syndrome

Brindise

Abiad

et al. 2022

Gut and Liver

View full text Add to dashboard Cite

Afferent loop syndrome (ALS) is a morbid complication that may occur after gastrectomy and gastrojejunostomy reconstruction. The aim of this article is to review the different endoscopic treatment options of ALS. We describe the evolution of the endoscopic treatment of ALS and its limitations despite the overall propitious profile. We analyze the advantages of endoscopic ultrasound-guided entero-enterostomy (EUS EE) over enteroscopy-guided intervention, and the clinical outcomes of EUS EE. We expound on pre-procedural considerations, intra-procedural techniques and post-procedural care following EUS EE. We conclude that given the simplification of the technique and the ability to place a stent away from the tumor, EUS EE is a promising technique that will likely be established as the treatment of choice for ALS.

show abstract

Section: Non-endoscopic Treatmentmentioning

confidence: 99%