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The Role of Endoscopic Management in Afferent Loop Syndrome.

Publication ,  Journal Article
Wu, CCH; Brindise, E; Abiad, RE; Khashab, MA
Published in: Gut and liver
May 2023

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.

Published In

Gut and liver

DOI

EISSN

2005-1212

ISSN

1976-2283

Publication Date

May 2023

Volume

17

Issue

3

Start / End Page

351 / 359

Related Subject Headings

  • Ultrasonography, Interventional
  • Stents
  • Humans
  • Endosonography
  • Endoscopy
  • Amyotrophic Lateral Sclerosis
  • Afferent Loop Syndrome
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wu, C. C. H., Brindise, E., Abiad, R. E., & Khashab, M. A. (2023). The Role of Endoscopic Management in Afferent Loop Syndrome. Gut and Liver, 17(3), 351–359. https://doi.org/10.5009/gnl220205
Wu, Clement Chun Ho, Elizabeth Brindise, Rami El Abiad, and Mouen A. Khashab. “The Role of Endoscopic Management in Afferent Loop Syndrome.Gut and Liver 17, no. 3 (May 2023): 351–59. https://doi.org/10.5009/gnl220205.
Wu CCH, Brindise E, Abiad RE, Khashab MA. The Role of Endoscopic Management in Afferent Loop Syndrome. Gut and liver. 2023 May;17(3):351–9.
Wu, Clement Chun Ho, et al. “The Role of Endoscopic Management in Afferent Loop Syndrome.Gut and Liver, vol. 17, no. 3, May 2023, pp. 351–59. Epmc, doi:10.5009/gnl220205.
Wu CCH, Brindise E, Abiad RE, Khashab MA. The Role of Endoscopic Management in Afferent Loop Syndrome. Gut and liver. 2023 May;17(3):351–359.

Published In

Gut and liver

DOI

EISSN

2005-1212

ISSN

1976-2283

Publication Date

May 2023

Volume

17

Issue

3

Start / End Page

351 / 359

Related Subject Headings

  • Ultrasonography, Interventional
  • Stents
  • Humans
  • Endosonography
  • Endoscopy
  • Amyotrophic Lateral Sclerosis
  • Afferent Loop Syndrome
  • 3202 Clinical sciences