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首页> 外文期刊>Clinical gastroenterology and hepatology: the official clinical practice journal of the American Gastroenterological Association >Efficacy of Endoscopically Created Bypass Anastomosis in Treatment of Afferent Limb Syndrome: A Single-Center Study
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Efficacy of Endoscopically Created Bypass Anastomosis in Treatment of Afferent Limb Syndrome: A Single-Center Study

机译：内窥镜旁路吻合术治疗肢体传入综合征的疗效：单中心研究

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摘要

Afferent limb syndrome is a postoperative complication of gastrointestinal surgery, resulting from obstruction of a biliary-enteric limb. Surgery has been the cornerstone of treatment for this condition, but advances in endoscopic and percutaneous techniques could offer less-invasive options. Creation of an internal endoscopic anastomosis between the obstructed afferent limb and an adjacent gastrointestinal lumen can relieve symptoms and might provide a long-term solution. We report the efficacy of endoscopic treatment of afferent limb syndrome using lumen-apposing self-expandable metal stents to create 3 types of enteric anastomoses: a jejunojejunostomy, 2 gastrojejunostomies, and a duodenuojejunostomy in patients who developed afferent limb obstruction following a resection for pancreaticobiliary cancer.
机译：传入肢体综合征是胃肠道手术的术后并发症，由胆肠-肠梗阻引起。外科手术一直是治疗这种疾病的基石，但是内窥镜和经皮技术的进步可以提供创伤较小的选择。在梗阻的传入肢体和邻近的胃肠腔之间形成内部内窥镜吻合可以缓解症状，并可能提供长期解决方案。我们报告内窥镜治疗腔的自膨胀金属支架来创建3种类型的肠吻合术的传入性肢体综合征的功效：空肠空肠造口术，2胃空肠吻合术和十二指肠空肠造口术在胰腺胆管癌切除术后发生传入性肢体阻塞的患者中。

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