Electronic Resource
Endoscopic ultrasound-guided drainage using lumen-apposing metal stent of malignant afferent limb syndrome in patients with previous Whipple surgery: Multicenter study (with video).
| العنوان: | Endoscopic ultrasound-guided drainage using lumen-apposing metal stent of malignant afferent limb syndrome in patients with previous Whipple surgery: Multicenter study (with video). |
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| المؤلفون: | UCL - (SLuc) Centre du cancer, UCL - SSS/IREC/GAEN - Pôle d'Hépato-gastro-entérologie, UCL - (SLuc) Service de gastro-entérologie, Pérez-Cuadrado-Robles, Enrique, Bronswijk, Michiel, Prat, Fréderic, Barthet, Marc, Palazzo, Maxime, Arcidiacono, Paolo, Schaefer, Marion, Devière, Jacques, van Wanrooij, Roy L J, Tarantino, Ilaria, Donatelli, Gianfranco, Camus, Marine, Sanchez-Yague, Andres, Pham, Khanh Do-Cong, Gonzalez, Jean-Michel, Anderloni, Andrea, Vila, Juan J, Jezequel, Julien, Larghi, Alberto, Jaïs, Bénédicte, Vazquez-Sequeiros, Enrique, Deprez, Pierre H, Van der Merwe, Schalk, Cellier, Christophe, Rahmi, Gabriel |
| المصدر: | Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society, Vol. 136, no.1, p. 1-7 (2022) |
| بيانات النشر: | 2022 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Endoscopic ultrasound-guided digestive anastomosis (EUS-A) is a new alternative under evaluation in patients presenting with afferent limb syndrome (ALS) after Whipple surgery. The aim of the present study is to analyze the safety and effectiveness of EUS-A in ALS. This is an observational multicenter study. All patients ≥18 years old with previous Whipple surgery presenting with ALS who underwent an EUS-A using a lumen-apposing metal stent (LAMS) between 2015 and 2021 were included. The primary outcome was clinical success, defined as resolution of the ALS or ALS-related cholangitis. Furthermore, technical success, adverse event rate, and mortality were evaluated. Forty-five patients (mean age: 65.5 ± 10.2 years; 44.4% male) were included. The most common underlying disease was pancreatic cancer (68.9%). EUS-A was performed at a median of 6 weeks after local tumor recurrence. The most common approach used was the direct/freehand technique (66.7%). Technical success was achieved in 95.6%, with no differences between large (≥15 mm) and small LAMS (97.4% vs. 100%, P = 0.664). Clinical success was retained in 91.1% of patients. A complementary treatment by dilation of the stent followed by endoscopic retrograde cholangiopancreatography through the LAMS was performed in three cases (6.7%). There were six recurrent episodes of cholangitis (14.6%) and two procedure-related adverse events (4.4%) after a median follow-up of 4 months. Twenty-six patients (57.8%) died during the follow-up due to disease progression. EUS-A is a safe and effective technique in the treatment of malignant ALS, achieving high clinical success with an acceptable recurrence rate. |
| مصطلحات الفهرس: | LAMS, anastomosis, endoscopic ultrasound, gastrojejunostomy, stent, info:eu-repo/semantics/article |
| URL: | |
| الاتاحة: | Open access content. Open access content info:eu-repo/semantics/embargoedAccess |
| ملاحظة: | English |
| Other Numbers: | UCDLC oai:dial.uclouvain.be:boreal:263543 boreal:263543 info:doi/10.1111/den.14330 info:pmid/35429360 urn:EISSN:1443-1661 1372955428 |
| المصدر المساهم: | UNIVERSITE CATHOLIQUE DE LOUVAIN From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1372955428 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |