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

• Nakahara K
• Sato Y
• Suetani K
• Morita R
• Michikawa
• Kobayashi
• Itoh F

• KMID: 2166557
• DOI: http://doi.org/10.5946/ce.2016.49.1.97

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).

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  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.

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  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

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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.

3. Ross AS, Semrad C, Waxman I, Dye C. Enteral stent placement by double balloon enteroscopy for palliation of malignant small bowel obstruction. Gastrointest Endosc. 2006; 64:835–837.

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.