The Role of Endoscopic Management in Afferent Loop Syndrome.
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.
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Related Subject Headings
- Ultrasonography, Interventional
- Stents
- Humans
- Endosonography
- Endoscopy
- Amyotrophic Lateral Sclerosis
- Afferent Loop Syndrome
Citation
Published In
DOI
EISSN
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Ultrasonography, Interventional
- Stents
- Humans
- Endosonography
- Endoscopy
- Amyotrophic Lateral Sclerosis
- Afferent Loop Syndrome