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DOI: 10.1055/s-0039-1681245
EUS GUIDED ENTEROENTEROSTOMY FOR AFFERENT LIMB SYNDROME
Publication History
Publication Date:
18 March 2019 (online)
Background:
Afferent limb syndrome (ALS) is a rare complication of duodenopancreatectomy resulting from the mechanical obstruction of the afferent limb usually after local malignancy recurrence. Conventional management of ALS (ie surgery and conservative palliative therapy) is often unsatisfactory.
Methods:
we present here five cases of EUS guided internal drainage of the afferent limb using lumen apposing metal stents (LAMS). IRB approval/written consent not needed.
Results:
All procedures were successful with no related complications, two patients had a complete regression of their symptoms, one experienced cholangitis recurrence after 3months, two patients died after some weeks due to their malignancies.
Conclusions:
EUS-guided entero-enterostomy by LAMS offers a convenient and safe palliative solution for patients presenting ALS due to progressive malignancy after duodenopancreatectomy.