Endoscopic ultrasound–guided luminal remodeling as a novel technique to restore gastroduodenal continuity. (September 2020)

• Record Type: Journal Article
• Authors: El Bacha, Hicham; Jung, Carlo; Brieau, Bertrand; Bordacahar, Benoit; Leblanc, Sarah; Barret, Maximillien; de Chaumont, Arthus; Dousset, Bertand; Prat, Frederic
• Is Part Of: SAGE open medical case reports. Volume 8(2020)
• Publication Date: 2020-09
• Subjects: Pyloric exclusion -- recanalization -- endoscopic ultrasound; Clinical medicine -- Case studies -- Periodicals; 616.09
• DOI: 10.1177/2050313X20950047
• Languages: English
• ISSNs: 2050-313X

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.