Endoscopic ultrasound-guided gastrojejunostomy using a 2-cm lumen-apposing metal stent to treat benign afferent loop syndrome

Abstract

Video 1 Endoscopic ultrasound-guided gastrojejunostomy for treatment of benign afferent limb syndrome using a 2-cm diameter lumen-apposing metal stent.

EUS-guided gastroenterostomy assisted by extrinsic abdominal compression to treat gastric obstruction after surgical resection of a GI stromal tumor

“…EUS-guided gastroenterostomy is increasingly used to treat gastric outlet obstruction after surgery such as a Whipple procedure. 1 Postoperative stenosis of the gastric lumen is a described adverse event after laparoscopic wedge resection of submucosal tumors located on the lesser curvature. 2,3 We describe a case of EUS-guided gastroenterostomy facilitated by extrinsic abdominal compression to treat gastric obstruction resulting from a laparoscopic wedge resection of a gastrointestinal stromal tumor.…”

Endoscopic Ultrasound-Guided Gastroenterostomy for Afferent Loop Syndrome

“…Table 3 summarizes previous reports concerning EUS-GE for ALS. 9,20,[23][24][25][26][27][28][29][30][31] The reports were identified from the PubMed database for English-language studies using the following keywords: "afferent loop syndrome" and "endo-…”

“…Recently, with the advent of LAMSs, favorable data on EUS-GE for ALS have been reported, although the number of reports is limited. 9,23,24,[26][27][28][29]31 Furthermore, the availability of EC-LAMSs has enabled single-step deployment, and EUS-GE has become a simpler and safer procedure. EUS-GE has the advantage of ensuring long-term stent patency because it does not involve crossing the stricture of the afferent limbs, allowing for continuous effective chemotherapy, which is expected to prolong survival.…”

“…Table 3 summarizes previous reports concerning EUS-GE for ALS [ 9 , 20 , 23 - 31 ]. The reports were identified from the PubMed database for English-language studies using the following keywords: “afferent loop syndrome” and “endoscopic ultrasound-guided gastrojejunostomy”/“endoscopic ultrasound-guided gastroenterostomy”/“endoscopic ultrasound-guided entero-enterostomy.” We reviewed the clinical data of 35 patients, derived from nine case studies and two retrospective studies.…”

Treatment of afferent loop syndrome using digital cholangioscopy through the percutaneous transhepatic biliary drainage route

“…Recently, there have been strategies reported for non-surgical management of afferent loop syndrome [1,2], especially using a lumen-apposing metal stent (LAMS) under endoscopic ultrasound (EUS) guidance [3,4]. While a LAMS pro-vides safety owing to its one-step procedure, it is not commercially available for this purpose in many countries.…”