Endoscopic approaches to afferent and Roux-en-Y limb obstruction

Gastrointestinal Intervention Pub Date : 2016-07-31 DOI:10.18528/GII150017

R. Kozarek

引用次数: 2

Abstract

Afferent limb syndrome can be seen following Billroth II gastric resection, Whipple procedure with duodenojejunostomy, or in association with an obstructed Roux-en-Y limb following hepaticojejunostomy. This syndrome classically presents with jaundice or cholangitis but may also be associated with abdominal pain alone or pancreatitis, especially in patients with surgically created pancreaticojejunostomies. Obstructions may be a consequence of benign or malignant disorders. Historically treated with surgery or percutaneous transhepatic biliary drainage, this review describes currently applied and evolving endoscopic techniques to include balloon dilation, double pigtail plastic stent placement, and insertion of self-expandable metal stents or lumen-apposing stents. Copyright © 2016, Society of Gastrointestinal Intervention. All rights reserved.

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内镜入路治疗传入和Roux-en-Y肢体梗阻

传入肢体综合征见于Billroth II胃切除术、Whipple手术合并十二指肠空肠吻合术，或合并肝空肠吻合术后Roux-en-Y肢体梗阻。该综合征典型表现为黄疸或胆管炎，但也可能单独伴有腹痛或胰腺炎，特别是手术创建胰空肠造口的患者。梗阻可能是良性或恶性疾病的结果。历来采用手术或经皮经肝胆道引流治疗，本综述描述了目前应用的和不断发展的内镜技术，包括球囊扩张、双尾塑料支架置入、可自膨胀金属支架置入或腔内支架置入。版权所有©2016，胃肠干预学会。版权所有。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gastrointestinal Intervention

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： IJGII (pISSN 2636-0004, eISSN 2636-0012) was published four times a year on the last day of January, April, July, and October, which has effected from January 1 in 2019. This Journal was first published biannually on June and December, beginning in December 2012 under the title ‘Gastrointestinal Intervention’ (former pISSN 2213-1795, eISSN 2213-1809) and was changed to be published three times a year from 2016. Commencing with the January 2019 issue, the Journal was renamed ‘International Journal of Gastrointestinal Intervention’. As the official journal of the Society of Gastrointestinal Intervention (SGI), International Journal of Gastrointestinal Intervention (IJGII) delivers original, peer-reviewed articles for gastroenterologists, interventional radiologists, surgeons, gastrointestinal oncologists, nurses and technicians who need current and reliable information on the interventional treatment of gastrointestinal and hepatopancreaticobiliary diseases. Regular features also include ‘state-of-the-art’ review articles by leading authorities throughout the world. IJGII will become an international forum for the description and discussion of the various aspects of interventional radiology, endoscopy and minimally invasive surgery.