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Endoscopic Self-Expandable Metal Stent Placement for Malignant Afferent Loop Obstruction After Pancreaticoduodenectomy: A Case Series and Review

Sakai A, Shiomi H, Iemoto T, Nakano R, Ikegawa T, Kobayashi T, Masuda A, Kodama Y

In this study, we assessed a series of our cases in which endoscopic self-expandable metal stents (SEMSs) were used to treat malignant afferent loop obstruction (ALO) that arose after pancreaticoduodenectomy...
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Endoscopic Ultrasound-Guided Gastroenterostomy for Afferent Loop Syndrome

Shiomi H, Sakai A, Nakano R, Ota S, Kobayashi T, Masuda A, Iijima H

Afferent loop syndrome (ALS) is a mechanical obstruction of the afferent limbs after gastrectomy with gastrojejunostomy reconstruction. Patients with cancer recurrence require immediate and less invasive treatment because of their...
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A novel fully covered metal stent for unresectable malignant distal biliary obstruction: results of a multicenter prospective study

Sakai A, Masuda A, Eguchi T, Furumatsu K, Iemoto T, Yoshida S, Okabe Y, Yamanaka K, Miki I, Kakuyama S, Yagi Y, Shirasaka D, Kohashi S, Kobayashi T, Shiomi H, Kodama Y

Background/Aims: Endoscopic self-expandable metal stent (SEMS) placement is currently the standard technique for treating unresectable malignant distal biliary obstructions (MDBO). Therefore, covered SEMS with longer stent patency and fewer migrations...
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