{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T13:42:33Z","timestamp":1791639753635,"version":"4.3.4"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2002Afferent loop syndrome (ALS) is traditionally managed surgically and, more recently, endoscopically. The role of endoscopic ultrasound-guided entero-enterostomy (EUS-EE) has not been well described. The aim of this study was to assess the technical and clinical success and safety of EUS-EE.<\/jats:p><jats:p>\n          Methods\u2002This was a multicenter, retrospective series at six centers in patients with ALS treated by EUS-EE. Data on patients treated with enteroscopy-assisted luminal stenting (EALS) at a single center were also collected. <\/jats:p><jats:p>\n          Results\u200218 patients (mean age 64.2 years, 72\u200a% post-pancreaticoduodenectomy, 10 female) underwent EUS-EE. The most common symptoms were vomiting (27.8\u200a%) and jaundice (33.3\u200a%). Clinical success included resolution of symptoms in 88.9\u200a% and improvement to allow hospital discharge in 11.1\u200a%. Technical success was achieved in 100\u200a% of cases, with a mean procedure time of 29.7 minutes. The most common procedure was a gastro-jejunostomy (72.2\u200a%). Three adverse events (16.7\u200a%) occurred (two mild, one moderate). When compared with data on EALS, patients treated with EUS-EE needed fewer re-interventions (16.6\u200a% vs. 76.5\u200a%; P\u200a&lt;\u200a0.001).<\/jats:p><jats:p>\n          Conclusion EUS-EE seems to be safe and effective in the treatment of ALS.\u200aIndirect comparison with EALS suggested that EUS-EE is associated with a reduced need for re-intervention.<\/jats:p>","DOI":"10.1055\/s-0044-102254","type":"journal-article","created":{"date-parts":[[2018,8,29]],"date-time":"2018-08-29T22:31:30Z","timestamp":1535581890000},"page":"891-895","source":"Crossref","is-referenced-by-count":57,"title":["Endoscopic ultrasound-guided entero-enterostomy for the treatment of afferent loop syndrome: a multicenter experience"],"prefix":"10.1055","volume":"50","author":[{"given":"Olaya","family":"Brewer Gutierrez","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shayan","family":"Irani","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Virginia Mason, Seattle, Washington, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saowanee","family":"Ngamruengphong","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanaa","family":"Aridi","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rastislav","family":"Kunda","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, Pennsylvania, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Dollhopf","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Leitender Oberarzt der Klinik, Munchen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose","family":"Nieto","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Borland Groover Clinic, Jacksonville, Florida, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yen-I","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadav","family":"Sahar","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Virginia Mason, Seattle, Washington, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majidah","family":"Bukhari","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omid","family":"Sanaei","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia","family":"Canto","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikesh","family":"Singh","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Kozarek","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Virginia Mason, Seattle, Washington, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mouen","family":"Khashab","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2018,3,2]]},"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-102254.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,8,29]],"date-time":"2018-08-29T22:31:39Z","timestamp":1535581899000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-102254"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,2]]},"references-count":0,"journal-issue":{"issue":"09","published-online":{"date-parts":[[2018,8,29]]},"published-print":{"date-parts":[[2018,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-102254","relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,2]]}}}