Treatment of neoplastic afferent limb syndrome by endoscopic gastrojejunostomy with a lumen-apposing metal stent

摘要

A 65-year-old woman presented with sepsis secondaryto cholangitis and was given antibiotics. She was knownto have pancreatic adenocarcinoma and had undergone aWhipple pancreaticoduodenectomy 2 years earlier(Fig. 1). An abdominal CT scan confirmed afferent limbsyndrome resulting from obstruction by recurrence ofthe tumor. Initially, her total bilirubin was 6.3 mg/dL; totreat the cholangitis, we attempted to stent the afferentlimb by push enteroscopy.