ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC ENTEROENTEROSTOMY FOR THE TREATMENT OF AFFERENT LIMB SYNDROME AFTER PERCUTANEOUS DECOMPRESSION

ENDOSCOPIC ENTEROENTEROSTOMY FOR THE TREATMENT OF AFFERENT LIMB SYNDROME AFTER PERCUTANEOUS DECOMPRESSION

Video Transcription

Video Summary

The video discusses a case of a 65-year-old man with pancreatic adenocarcinoma who developed afferent limb syndrome after surgery. This condition caused severe abdominal pain, bile duct obstruction, and sepsis. The video shows how the patient underwent endoscopic management using an endoscope to evaluate the obstructed afferent limb. The obstruction was found to be due to recurrent malignancy compressing the limb. A guide wire was successfully inserted into the limb, and a nasal tube was placed to instill a solution to dilate the limb. An EOS-guided gastroenterostomy was performed to create an anastomosis between the proximal efferent and afferent limb, relieving the obstruction. The patient recovered without complications, and follow-up imaging showed resolution of the obstruction. The video emphasizes that EOS-guided enteroenterostomy is an effective treatment for severe cases of afferent limb syndrome.

Asset Subtitle

Honorable Mention

Keywords

pancreatic adenocarcinoma

afferent limb syndrome

endoscopic management

bile duct obstruction

EOS-guided enteroenterostomy