{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T14:38:45Z","timestamp":1784039925433,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T00:00:00Z","timestamp":1717718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Endoscopic ultrasound\u2010guided gastroenterostomy is a procedure used to connect the stomach and dilated afferent loop using a stent under endoscopic ultrasound for afferent loop syndrome. However, the actual efficacy and safety of this procedure remain unclear. Therefore, this retrospective study aimed to evaluate the efficacy and safety of endoscopic ultrasound\u2010guided gastroenterostomy using a laser\u2010cut\u2010type fully covered self\u2010expandable metallic stent and an anchoring plastic stent for afferent loop syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Technical and clinical success rates, adverse events, recurrent intestinal obstruction rates, time to recurrent intestinal obstruction, and technical and clinical success rates of re\u2010intervention were evaluated in intended patients who underwent endoscopic ultrasound\u2010guided gastroenterostomy for afferent loop syndrome from October 2018 to August 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 25 intended patients with afferent loop syndrome who intended endoscopic ultrasound\u2010guided gastroenterostomy, the technical success rate was 100% (25\/25), whereas the clinical success rate was 96% (24\/25). Two patients experienced grade\u00a0\u2265\u00a03 early adverse events, including one with intra\u2010abdominal abscess and one with hypotension. Both events were attributed to intestinal fluid leakage. No late adverse events were observed. The recurrent intestinal obstruction rate was 32% (8\/25), and the median time to recurrent intestinal obstruction was 6.5\u00a0months (95% confidence interval: 2.8\u2013not available). The technical and clinical success rates of re\u2010intervention were both 100% (8\/8).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Endoscopic ultrasound\u2010guided gastroenterostomy using a fully covered self\u2010expandable metallic stent and an anchoring plastic stent is effective and safe as a treatment procedure for afferent loop syndrome.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.16649","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T07:23:59Z","timestamp":1717745039000},"page":"2136-2142","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Efficacy of endoscopic ultrasound\u2010guided gastroenterostomy using self\u2010expandable metallic stent for afferent loop syndrome: A single\u2010center retrospective study"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3856-0795","authenticated-orcid":false,"given":"Yuya","family":"Hagiwara","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0394-6876","authenticated-orcid":false,"given":"Susumu","family":"Hijioka","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshikuni","family":"Nagashio","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital  Tokyo 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