Journal article
Endoscopic ultrasound-guided entero-enterostomy for the treatment of afferent loop syndrome: a multicenter experience
Endoscopy, Vol.50(9), pp.891-895
09/01/2018
DOI: 10.1055/s-0044-102254
PMID: 29499577
Abstract
Background Afferent loop syndrome (ALS) is traditionally managed surgically and, more recently, endoscopically. The role of endoscopic ultrasound-guided entero-enterostomy (EUS-EE) has not been well described. The aim of this study was to assess the technical and clinical success and safety of EUS-EE.
Methods This was a multicenter, retrospective series at six centers in patients with ALS treated by EUS-EE. Data on patients treated with enteroscopy-assisted luminal stenting (EALS) at a single center were also collected.
Results 18 patients (mean age 64.2 years, 72% post-pan-creaticoduodenectomy, 10 female) underwent EUS-EE. The most common symptoms were vomiting (27.8%) and jaundice (33.3%). Clinical success included resolution of symptoms in 88.9% and improvement to allow hospital discharge in 11.1%. Technical success was achieved in 100% of cases, with a mean procedure time of 29.7 minutes. The most common procedure was a gastro-jejunostomy (72.2%). Three adverse events (16.7%) occurred (two mild, one moderate). When compared with data on EALS, patients treated with EUS-EE needed fewer re-interventions (16.6% vs. 76.5%; P < 0.001).
Conclusion EUS-EE seems to be safe and effective in the treatment of ALS. Indirect comparison with EALS suggested that EUS-EE is associated with a reduced need for re-intervention.
Details
- Title: Subtitle
- Endoscopic ultrasound-guided entero-enterostomy for the treatment of afferent loop syndrome: a multicenter experience
- Creators
- Olaya I. Brewer Gutierrez - Johns Hopkins HospitalShayan S. Irani - Virginia Mason Medical CenterSaowanee Ngamruengphong - Johns Hopkins HospitalHanaa D. Aridi - Johns Hopkins HospitalRastislav Kunda - Aarhus University HospitalAli Siddiqui - Thomas Jefferson UniversityMarkus Dollhopf - München KlinikJose Nieto - Borland Groover ClinicYen-I Chen - Johns Hopkins HospitalNadav Sahar - Virginia Mason Medical CenterMajidah A. Bukhari - Johns Hopkins HospitalOmid Sanaei - Johns Hopkins HospitalMarcia I. Canto - Johns Hopkins HospitalVikesh K. Singh - Johns Hopkins HospitalRichard Kozarek - Virginia Mason Medical CenterMouen A. Khashab - Johns Hopkins Hospital
- Resource Type
- Journal article
- Publication Details
- Endoscopy, Vol.50(9), pp.891-895
- Publisher
- Thieme Medical Publishers
- DOI
- 10.1055/s-0044-102254
- PMID
- 29499577
- ISSN
- 0013-726X
- eISSN
- 1438-8812
- Number of pages
- 5
- Grant note
- Boston Scientific
- Language
- English
- Date published
- 09/01/2018
- Academic Unit
- Gastroenterology and Hepatology; Internal Medicine
- Record Identifier
- 9984359769602771
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