Endoscopy 2019; 51(04): S26
DOI: 10.1055/s-0039-1681245
ESGE Days 2019 oral presentations
Friday, April 5, 2019 08:30 – 10:30: Video EUS 1 South Hall 1A
Georg Thieme Verlag KG Stuttgart · New York

EUS GUIDED ENTEROENTEROSTOMY FOR AFFERENT LIMB SYNDROME

H El Bacha
1   Medecine b, Hopital Ibn Sina, Rabat, Morocco
2   Faculte de Medecine, University Mohammed V, Rabat, Morocco
,
S Leblanc
3   Gastro Enterologie, Hopital Cochin, Paris, France
,
B Bordacahar
3   Gastro Enterologie, Hopital Cochin, Paris, France
,
B Brieau
3   Gastro Enterologie, Hopital Cochin, Paris, France
,
M Barret
3   Gastro Enterologie, Hopital Cochin, Paris, France
,
S Doat
4   Chirurgie, Hopital Pitier Salpetriere, Paris, France
,
E Savier
4   Chirurgie, Hopital Pitier Salpetriere, Paris, France
,
B Dousset
5   Chirurgie, Hopital Cochin, Paris, France
,
O Soubrane
6   Chirurgie, Beaujon, Paris, France
,
F Prat
3   Gastro Enterologie, Hopital Cochin, Paris, France
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

Also available at
 

Background:

Afferent limb syndrome (ALS) is a rare complication of duodenopancreatectomy resulting from the mechanical obstruction of the afferent limb usually after local malignancy recurrence. Conventional management of ALS (ie surgery and conservative palliative therapy) is often unsatisfactory.

Methods:

we present here five cases of EUS guided internal drainage of the afferent limb using lumen apposing metal stents (LAMS). IRB approval/written consent not needed.

Results:

All procedures were successful with no related complications, two patients had a complete regression of their symptoms, one experienced cholangitis recurrence after 3months, two patients died after some weeks due to their malignancies.

Conclusions:

EUS-guided entero-enterostomy by LAMS offers a convenient and safe palliative solution for patients presenting ALS due to progressive malignancy after duodenopancreatectomy.