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

SAGE Open Med Case Rep. 2020 Sep 10:8:2050313X20950047. doi: 10.1177/2050313X20950047. eCollection 2020.

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.

Keywords: Pyloric exclusion; endoscopic ultrasound; recanalization.

Publication types

  • Case Reports