Natural Orifice Transluminal Endoscopic Surgery-TREATMENT OF AFFERENT LOOP SYNDROME WITH LUMEN-APPOSING METALLIC STENT

TREATMENT OF AFFERENT LOOP SYNDROME WITH LUMEN-APPOSING METALLIC STENT

Video Transcription

Video Summary

The video discusses the treatment of Affluent Loop Syndrome using a combination of Laminopause and Metallic Stents. The case presented is of a 61-year-old female who underwent adenopancreatectomy due to a neuroendocrine tumor and later developed complications such as gastroparesis, loop perforation, and hepatic fistula. Various procedures, including exploratory laparotomy and transparietal drainage, were performed to address the complications and improve bile drainage. Ultimately, an echoguided enteroenteroanastomosis was conducted using a 15mm lens to release proximal and distal phalange and create a white drainage element. The patient recovered well and the stent was removed after six months without any complications. Long-term follow-up showed positive results with no further interventions needed. The video concludes by suggesting the safety and effectiveness of this approach but highlights the need for additional studies comparing it to surgical interventions.

Asset Subtitle

Honorable Mention

Keywords

Affluent Loop Syndrome

Laminopause

Metallic Stents

Neuroendocrine Tumor

Gastroparesis