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Shogo Ota 2 Articles
Covered self-expandable metal stents for distal biliary obstruction from pancreatic carcinoma: what type of stent is preferred?
Hideyuki Shiomi, Ryota Nakano, Shogo Ota
Clin Endosc 2022;55(3):369-371.   Published online May 11, 2022


Citations to this article as recorded by  
  • A case of delayed pancreatic fistula after covered self-expandable metallic stent deployment for pancreatic head cancer
    Shogo Ota, Hideyuki Shiomi, Ryota Nakano, Takashi Nishimura, Hirayuki Enomoto, Hiroko Iijima
    Clinical Journal of Gastroenterology.2023; 16(2): 303.     CrossRef
  • Endoscopic ultrasound-guided biliary drainage for distal malignant biliary obstruction: a prospective 3-year multicenter Egyptian study
    K.M. Ragab, M Abdel-Hameed, M Gouda, H Katamish, A Madkour, H Atalla, H Hamed, G.E. Shiha, O Abdallah, R.H. Agwa, E Ghoneem
    Acta Gastro Enterologica Belgica.2023; 86(1): 26.     CrossRef
  • 2,175 View
  • 135 Download
  • 2 Web of Science
  • 2 Crossref
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Endoscopic Ultrasound-Guided Gastroenterostomy for Afferent Loop Syndrome
Hideyuki Shiomi, Arata Sakai, Ryota Nakano, Shogo Ota, Takashi Kobayashi, Atsuhiro Masuda, Hiroko Iijima
Clin Endosc 2021;54(6):810-817.   Published online November 15, 2021
AbstractAbstract PDFPubReaderePub
Afferent loop syndrome (ALS) is a mechanical obstruction of the afferent limbs after gastrectomy with gastrojejunostomy reconstruction. Patients with cancer recurrence require immediate and less invasive treatment because of their poor condition. Percutaneous transhepatic/transluminal drainage (PTD) and endoscopic enteral stenting offer reasonable palliative treatment for malignant ALS but are not fully satisfactory in terms of patient quality of life (QoL) and stent patency. Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) using a lumen-apposing metal stent may address these shortcomings. Clinical data from 11 reports showed that all patients who had undergone EUS-GE had positive technical and clinical outcomes. The adverse event rate was 11.4%, including only mild or moderate abdominal pain, with no severe adverse events. Indirect comparative studies indicated that patients who had undergone EUS-GE had a significantly superior QoL, a higher clinical success rate, and a lower reintervention rate than those who had undergone PTD or endoscopic enteral stenting. Although the evidence is limited, EUS-GE may be considered as a first-line treatment for malignant ALS because it has better clinical outcomes than other less invasive treatments, such as PTD or endoscopic enteral stenting. Further prospective randomized control trials are necessary to establish EUS-GE as a standard treatment for ALS.


Citations to this article as recorded by  
  • Endoscopic ultrasound‐guided gastrointestinal anastomosis: Are we there yet?
    Vinay Dhir, Cesar Jaurrieta‐Rico, Vivek Kumar Singh
    Digestive Endoscopy.2024;[Epub]     CrossRef
  • Endoscopic ultrasound-guided gastroenterostomy using a novel dumbbell-shaped fully covered metal stent for afferent loop syndrome with long interluminal distance
    Hideyuki Shiomi, Ryota Nakano, Shogo Ota, Hiroko Iijima
    Endoscopy.2023; 55(S 01): E362.     CrossRef
  • Endoscopic Ultrasound-Guided Gastrojejunostomy for Malignant Afferent Loop Syndrome Using a Fully Covered Metal Stent: A Multicenter Experience
    Saburo Matsubara, Sho Takahashi, Naminatsu Takahara, Keito Nakagawa, Kentaro Suda, Takeshi Otsuka, Yousuke Nakai, Hiroyuki Isayama, Masashi Oka, Sumiko Nagoshi
    Journal of Clinical Medicine.2023; 12(10): 3524.     CrossRef
  • Endoscopic ultrasound guided gastroenterostomy: Technical details updates, clinical outcomes, and adverse events
    Jian Wang, Jin-Long Hu, Si-Yu Sun
    World Journal of Gastrointestinal Endoscopy.2023; 15(11): 634.     CrossRef
  • Endoscopic ultrasound-guided intra-afferent loop entero-enterostomy using a forward-viewing echoendoscope and insertion of a metal stent
    Yuki Kawasaki, Susumu Hijioka, Kosuke Maehara, Kiichi Tamada, Takuji Okusaka, Yutaka Saito
    Endoscopy.2022; 54(S 02): E815.     CrossRef
  • Endoscopic ultrasound‐guided gastrojejunostomy for malignant afferent loop syndrome with hemorrhage in a patient with recurrent peritoneal dissemination
    Kenjiro Yamamoto, Takayoshi Tsuchiya, Ryosuke Tonozuka, Shuntaro Mukai, Hiroyuki Kojima, Noriyuki Hirakawa, Takao Itoi
    Journal of Hepato-Biliary-Pancreatic Sciences.2022;[Epub]     CrossRef
  • Current status of, and challenges posed by, endoscopic ultrasound‐guided anastomosis of the digestive tract in patients with afferent loop syndrome
    Toshio Fujisawa, Hiroyuki Isayama
    Digestive Endoscopy.2022; 34(7): 1440.     CrossRef
  • 3,988 View
  • 140 Download
  • 7 Web of Science
  • 7 Crossref
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