Clin Endosc.  2018 May;51(3):299-303. 10.5946/ce.2018.005.

Metal Stent Placement in the Afferent Loop Obstructed by Peritoneal Metastases—Experience of Five Cases

• Kanno Y
• Ohira T
• Harada Y
• Koike Y
• Yamagata T
• Tanaka M
• Shimada T
• Ito K

• KMID: 2414874
• DOI: http://doi.org/10.5946/ce.2018.005

Abstract

Afferent loop syndrome is often difficult to resolve. Among patients with afferent loop syndrome whose data were extracted from databases, 5 patients in whom metal stent placement was attempted were included and evaluated in this study. The procedure was technically successful without any adverse events in all patients. Metal stent(s) was placed with an endoscope in the through-the-scope manner in 4 patients and via a percutaneous route in 1 patient. Obvious clinical efficacy was observed in all patients. Adverse events related to the procedure and stent occlusion during the follow-up period were not observed. Metal stent placement for malignant obstruction of the afferent loop was found to be safe and feasible.

Keyword

Afferent loop syndrome; Self expandable metallic stents; Balloon enteroscopy; Intestinal obstruction; Palliative care

MeSH Terms

Afferent Loop Syndrome
Endoscopes
Follow-Up Studies
Humans
Intestinal Obstruction
Palliative Care
Self Expandable Metallic Stents
Stents*
Treatment Outcome

Figure

• 

  Fig. 1. Endoscopic placement of a metal stent in the obstructed afferent loop (patient #3). Arrowhead, obstruction; arrow, bilio-enteric anastomosis.

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  Fig. 2. Metal stent placement in the obstructed afferent loop via the previously created percutaneous route (patient #4). Arrowhead, obstruction.

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