Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Nov;6(11):E1330-E1335.
doi: 10.1055/a-0739-7640. Epub 2018 Nov 7.

Enteral self-expandable metal stent placement for malignant afferent limb syndrome using single-balloon enteroscope: report of five cases

Kei Yane  1 , Akio Katanuma  1 , Tsuyoshi Hayashi  1 , Kuniyuki Takahashi  1 , Toshifumi Kin  1 , Kazumasa Nagai  1 , Kazunari Tanaka  1 , Naohiro Komatsu  1 , Masato Endo  1 , Yousuke Kobayashi  1 , Yukiko Takigawa  1 , Ran Utsunomiya  1
Affiliations
Case Reports

Enteral self-expandable metal stent placement for malignant afferent limb syndrome using single-balloon enteroscope: report of five cases

Kei Yane et al. Endosc Int Open. 2018 Nov.

Abstract

Endoscopic enteral self-expandable metal stent (SEMS) placement is a useful alternative treatment option for malignant afferent limb syndrome (ALS). We investigated the safety, efficacy, and follow-up results of enteral SEMS placement using a single-balloon enteroscope for the treatment of malignant ALS.

PubMed Disclaimer

Conflict of interest statement

Competing interests None

Figures

Fig. 1
Fig. 1
Overtube-assisted SEMS placement. a Computed tomography (CT) showing marked dilation of the afferent limb (arrows) and the recurrent tumor (arrowhead). b Endoscopic image of the stenotic site. c Enterography showing the afferent limb stenosis. The length of the stenosis was about 3 cm. d A marking clip was placed as a landmark for the stenotic site. e, f The enteral SEMS was deployed via the overtube.
Fig. 2
Fig. 2
Through-the-scope SEMS placement: a Fluoroscopic imaging showing malignant afferent limb obstruction. b The stent delivery system was introduced through the scope channel. c SEMS was deployed under direct endoscopic view with fluoroscopic guidance.
See this image and copyright information in PMC

References

    1. Eagon J C, Miedema B W, Kelly K A. Postgastrectomy syndromes. Surg Clin North Am. 1992;72:445–465. - PubMed
    1. Pannala R, Brandabur J J, Gan S I et al.Afferent limb syndrome and delayed GI problems after pancreaticoduodenectomy for pancreatic cancer: single-center, 14-year experience. Gastrointest Endosc. 2011;74:295–302. - PubMed
    1. Huang J, Hao S, Yang F et al.Endoscopic metal enteral stent placement for malignant afferent loop syndrome after pancreaticoduodenectomy. Wideochir Inne Tech Maloinwazyjne. 2015;10:257–265. - PMC - PubMed
    1. Kida A, Matsuda K, Noda Y. Endoscopic metallic stenting by double-balloon enteroscope and its overtube for malignant gastrointestinal obstruction as palliative treatment. Dig Endosc. 2013;25:552–553. - PubMed
    1. Sasaki T, Isayama H, Kogure H et al.Double-balloon enteroscope-assisted enteral stent placement for malignant afferent-loop obstruction after Roux-en-Y reconstruction. Endoscopy. 2014;46 01:E541–542. - PubMed

Publication types