Clin Endosc.  2016 Jan;49(1):97-99. 10.5946/ce.2016.49.1.97.

Endoscopic Double Metallic Stenting in the Afferent and Efferent Loops for Malignant Afferent Loop Obstruction with Billroth II Anatomy

Affiliations
  • 1Department of Gastroenterology and Hepatology, St. Marianna University School of Medicine, Kawasaki, Japan. nakahara@marianna-u.ac.jp
  • 2Department of Gastroenterogical and General Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.

Abstract

No abstract available.


MeSH Terms

Gastroenterostomy*
Stents*

Figure

  • Fig. 1. Contrast medium injection to the afferent loop through a percutaneous transhepatic biliary drainage tube demonstrating an afferent loop stricture (arrow).

  • Fig. 2. (A) An enteral stent placed in the afferent loop stricture. (B) Contrast radiograph showing that contrast medium flows only into the afferent loop.

  • Fig. 3. (A) Additional enteral stent placed extending from the efferent loop to the stomach. (B) Substantial contrast medium flow into the efferent loop after efferent loop stenting.


Reference

1. Maetani I, Ogawa S, Hoshi H, et al. Self-expanding metal stents for palliative treatment of malignant biliary and duodenal stenoses. Endoscopy. 1994; 26:701–704.
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2. Baron TH. Expandable metal stents for the treatment of cancerous obstruction of the gastrointestinal tract. N Engl J Med. 2001; 344:1681–1687.
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4. Kwong WT, Fehmi SM, Lowy AM, Savides TJ. Enteral stenting for gastric outlet obstruction and afferent limb syndrome following pancreaticoduodenectomy. Ann Gastroenterol. 2014; 27:413–417.
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