Endoscopic ultrasound-guided management of malignant afferent loop syndrome after gastric bypass: from diagnosis to therapy.

Monino, Laurent;Barthet, Marc;Gonzalez, Jean Michel
(2020) Endoscopy — Vol. 52, n° 3, p. E84-E85 (2020)

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  • Monino, LaurentUCLouvain
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  • Barthet, Marc
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  • Gonzalez, Jean Michel
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Abstract
Afferent loop syndrome (ALS) is a known complication of surgical gastrectomy [1], caused by benign or malignant obstruction of the afferent limb, which induces digestive intolerance and reflux cholangitis. With the explosion of bariatric surgery, a new patient population with altered anatomy has emerged [2], presenting new endoscopic challenges. Therapeutic possibilities using endoscopic ultrasound (EUS) are constantly increasing thanks to new devices [3] [4]. We present an original case of a patient with ALS due to pancreatic adenocarcinoma that occurred years after a gastric bypass.[...]
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Monino, L., Barthet, M., & Gonzalez, J. M. (2020). Endoscopic ultrasound-guided management of malignant afferent loop syndrome after gastric bypass: from diagnosis to therapy. Endoscopy, 52(3), E84-E85. https://doi.org/10.1055/a-0948-5033 (Original work published 2020)