Endoscopic ultrasound–guided luminal remodeling as a novel technique to restore gastroduodenal continuity

Author:

El Bacha Hicham12ORCID,Jung Carlo3,Brieau Bertrand34,Bordacahar Benoit34,Leblanc Sarah34,Barret Maximillien34,de Chaumont Arthus5,Dousset Bertand46,Prat Frederic34

Affiliation:

1. Hôpital ibn-sina, Service d’hépatogastro-entérologie et proctologie Medecine B, Rabat, Morocco

2. Mohammed V University in Rabat, Rabat, Morocco

3. AP-HP, Cochin hopsital, department of gastroenterology and oncology, 75014 Paris, France

4. Paris V, Paris Descartes faculty of medicine

5. Hôpital Percy, Paris, France

6. AP-HP, Cochin hospital, department of digestive, hepatobiliary and pancreatic surgery, 75014 Paris, France

Abstract

Pyloric exclusion is a method of treatment for duodenal injury. Surgery is usually needed to restore digestive continuity in due time, yet a new surgical procedure can be challenging due to fibrotic adhesion development. We present here a retrospective case series of three patients with pyloric exclusion who underwent endoscopic ultrasound–guided duodenal repermeabilization using metallic stents. All procedures were successful with no complication and allowed regular feeding. This case series shows that endoscopic ultrasound–guided recanalization is a feasible and safe procedure.

Publisher

SAGE Publications

Subject

General Medicine

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