지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.11
- 수록면
- 810 - 817 (8page)
- DOI
- 10.5946/ce.2021.234
이용수
초록· 키워드
오류제보하기
Afferent loop syndrome (ALS) is a mechanical obstruction of the afferent limbs after gastrectomy with gastrojejunostomyreconstruction. Patients with cancer recurrence require immediate and less invasive treatment because of their poor condition.
Percutaneous transhepatic/transluminal drainage (PTD) and endoscopic enteral stenting offer reasonable palliative treatment formalignant ALS but are not fully satisfactory in terms of patient quality of life (QoL) and stent patency. Endoscopic ultrasound-guidedgastroenterostomy (EUS-GE) using a lumen-apposing metal stent may address these shortcomings. Clinical data from 11 reportsshowed that all patients who had undergone EUS-GE had positive technical and clinical outcomes. The adverse event rate was11.4%, including only mild or moderate abdominal pain, with no severe adverse events. Indirect comparative studies indicated thatpatients who had undergone EUS-GE had a significantly superior QoL, a higher clinical success rate, and a lower reintervention ratethan those who had undergone PTD or endoscopic enteral stenting. Although the evidence is limited, EUS-GE may be consideredas a first-line treatment for malignant ALS because it has better clinical outcomes than other less invasive treatments, such as PTD orendoscopic enteral stenting. Further prospective randomized control trials are necessary to establish EUS-GE as a standard treatmentfor ALS.
목차
등록된 정보가 없습니다.
참고문헌 (34)
참고문헌 신청
Pannala R / 2011 / Afferent limb syndrome and delayed GI problems after pancreaticoduodenectomy for pancreatic cancer : single-center, 14-year experience / Gastrointest Endosc 74:295~302
Song KB / 2019 / Comparative analysis of afferent loop obstruction between laparoscopic and open approach in pancreaticoduodenectomy / J Hepatobiliary Pancreat Sci 26:459~466
Blouhos K / 2015 / Management of afferent loop obstruction : reoperation or endoscopic and percutaneous interventions? / World J Gastrointest Surg 7:190~195
Yane K / 2018 / Enteral self-expandable metal stent placement for malignant afferent limb syndrome using single-balloon enteroscope : report of five cases / Endosc Int Open 6:E1330~E1335
Sasaki T / 2018 / Enteral stent placement for malignant afferent loop obstruction by the through-the-scope technique using a short-type single-balloon enteroscope / Endosc Int Open 6:E806~E811
Song KB / 2019 / Comparative analysis of afferent loop obstruction between laparoscopic and open approach in pancreaticoduodenectomy / J Hepatobiliary Pancreat Sci 26:459~466
Blouhos K / 2015 / Management of afferent loop obstruction : reoperation or endoscopic and percutaneous interventions? / World J Gastrointest Surg 7:190~195
Yane K / 2018 / Enteral self-expandable metal stent placement for malignant afferent limb syndrome using single-balloon enteroscope : report of five cases / Endosc Int Open 6:E1330~E1335
Sasaki T / 2018 / Enteral stent placement for malignant afferent loop obstruction by the through-the-scope technique using a short-type single-balloon enteroscope / Endosc Int Open 6:E806~E811
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