Percutaneous Drainage for Afferent Limb Syndrome and Pancreatic Fistula via the Blind End of the Jejunal Limb after Pancreatoduodenectomy or Bile Duct Resection

Sato, Yozo; Inaba, Yoshitaka; Murata, Shinichi; Yamaura, Hidekazu; Kato, Mina; Kawada, Hiroshi; Shimizu, Yasuhiro; Ishiguchi, Tsuneo

doi:10.1016/j.jvir.2014.11.010

Cited by 13 publications

(16 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Importantly, no patients developed any major complications. 74 While there are various treatments available for afferent limb syndrome, percutaneous drainage should be considered within the context of immediate palliation (►Fig. 5).…”

Section: Interventional Radiology Options For Decompression Of Mbomentioning

confidence: 99%

Malignant Gastrointestinal Obstruction: Options for Decompression and Nutrition

Litwin

Chan

Huang

2020

Digestive Disease Interventions

View full text Add to dashboard Cite

Malignant bowel obstruction (MBO) is a relatively common condition affecting patients with advanced malignancy. Therapeutic interventions should be aimed at maintaining quality of life. Given the lack of prospective controlled studies in this patient population, patient management is often based on local practice patterns and anecdotal experience. To foster a collaborative approach among the members of the patient care team involving internal medicine, oncology, palliative care, clinical nutrition, surgery, gastroenterology, and interventional radiology physicians, it is important to improve our understanding of MBO. The purpose of this article is to describe the clinical presentation, pathophysiology, as well as medical, surgical, and nonsurgical palliative options available to patients with MBO for purposes of decompression and nutrition.

show abstract

Section: Interventional Radiology Options For Decompression Of Mbomentioning

confidence: 99%

Malignant Gastrointestinal Obstruction: Options for Decompression and Nutrition

Litwin

Chan

Huang

2020

Digestive Disease Interventions

View full text Add to dashboard Cite

show abstract

“…34 Furthermore, afferent limb obstruction sometimes occurs with biliary obstruction. Although PTBD is an effective treatment for these conditions, it may introduce the risk of retrograde biliary infection.…”

Section: Additional Routementioning

confidence: 99%

“…1). 34 However, percutaneous jejunostomy carries a risk of intraperitoneal digestive fluid leakage from the afferent limb. 35 …”

Section: Additional Routementioning

confidence: 99%

Multiple metallic stents placement for malignant hilar biliary obstruction: Perspective of a radiologist

Sato

Inaba

Hara

et al. 2016

Int J Gastrointest Interv

Self Cite

View full text Add to dashboard Cite

A B S T R A C TIn the palliative setting, the necessity of biliary drainage of both liver lobes for malignant hilar biliary obstruction remains controversial. However, bilateral biliary drainage is a reasonable option to prevent cholangitis of the undrained lobe and to preserve liver function during the course of chemotherapy. Bilateral biliary drainage can be accomplished by the percutaneous or endoscopic placement of multiple self-expandable metallic stents (SEMS). Although SEMS placement via bilateral (multiple) percutaneous routes is technically simple, multiple percutaneous transhepatic biliary drainage (PTBD) may lead to additional morbidity. SEMS placement via a single percutaneous route is a useful method; however, negotiation of a guidewire into the contralateral bile duct is occasionally impossible if the hilar angle between the right hepatic duct and left hepatic duct is acute. Percutaneous dual SEMS placement is generally performed using the stent-in-stent technique (T configuration or Y configuration) or the side-byside technique. In addition, the crisscross technique has been reported as being a useful method for trisegmental drainage. The side-to-end technique is also useful for multiple SEMS placement. In the future, the combination of percutaneous intervention and endoscopic ultrasonography-guided procedures may be effective in the management of malignant hilar biliary obstruction.

show abstract

“…No complications were reported. Sato et al, 9 in turn treated 8 patients with afferent limb syndrome (6) or postoperative pancreatic fistula (2) following pancreaticoduodenectomy for malignancy by accessing the afferent limb percutaneously. Drains were placed into the afferent limbs in 6 patients in the fistula tract in 1, and into the pancreatic duct in 1.…”

Section: Afferent Limb Obstructionmentioning

confidence: 99%

“…Approached percutaneously, [9][10][11] surgically, [12][13][14][15][16][17][18][19] and endoscopically, [20][21][22][23] contingent upon clinical presentation, patient fitness, and institutional expertise, this review will focus on evolving endoscopic approaches to the obstructed afferent and Roux limbs.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic approaches to afferent and Roux-en-Y limb obstruction

Kozarek

2016

Int J Gastrointest Interv

View full text Add to dashboard Cite

Afferent limb syndrome can be seen following Billroth II gastric resection, Whipple procedure with duodenojejunostomy, or in association with an obstructed Roux-en-Y limb following hepaticojejunostomy. This syndrome classically presents with jaundice or cholangitis but may also be associated with abdominal pain alone or pancreatitis, especially in patients with surgically created pancreaticojejunostomies. Obstructions may be a consequence of benign or malignant disorders. Historically treated with surgery or percutaneous transhepatic biliary drainage, this review describes currently applied and evolving endoscopic techniques to include balloon dilation, double pigtail plastic stent placement, and insertion of self-expandable metal stents or lumen-apposing stents.

show abstract

Percutaneous Drainage for Afferent Limb Syndrome and Pancreatic Fistula via the Blind End of the Jejunal Limb after Pancreatoduodenectomy or Bile Duct Resection

Cited by 13 publications

References 21 publications

Malignant Gastrointestinal Obstruction: Options for Decompression and Nutrition

Malignant Gastrointestinal Obstruction: Options for Decompression and Nutrition

Multiple metallic stents placement for malignant hilar biliary obstruction: Perspective of a radiologist

Endoscopic approaches to afferent and Roux-en-Y limb obstruction

Contact Info

Product

Resources

About