Staged percutaneous transhepatic cholangial drainage-assisted endoscopic ultrasound-guided gastrojejunostomy for afferent loop syndrome after pancreaticoduodenectomy: Two case reports

doi:10.4253/wjge.125483

Advanced Search

BPG is committed to discovery and dissemination of knowledge

Home / Archive / Volume 18, Issue 10

This Article

(3)

(4)

(0)

(7)

Peer-Review Report of This Article

CrossCheck and Google Search of This Article

Academic Rules and Norms of This Article

Citation of this article

Corresponding Author of This Article

Research Domain of This Article

Article-Type of This Article

Open-Access Policy of This Article

Times Cited Counts in Google of This Article

Journal Information of This Article

Publication Name

World Journal of Gastrointestinal Endoscopy

ISSN

1948-5190

Publisher of This Article

Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Endosc. Oct 16, 2026; 18(10): 125483
Published online Oct 16, 2026. doi: 10.4253/wjge.125483

Staged percutaneous transhepatic cholangial drainage-assisted endoscopic ultrasound-guided gastrojejunostomy for afferent loop syndrome after pancreaticoduodenectomy: Two case reports

Zhong-Li Liao, Jian-Ting Zeng, Lei Dou, Xian-Zhang Luo

Zhong-Li Liao, Department of Gastroenterology, Chongqing University Cancer Hospital, Chongqing 400030, China

Jian-Ting Zeng, Chongqing University Cancer Hospital, Chongqing 400030, China

Lei Dou, Hepatic Biliary and Pancreatic Cancer Center, Chongqing University Cancer Hospital, Chongqing 400030, China

Xian-Zhang Luo, Chongqing University Cancer Hospital, Chongqing University, Chongqing 400030, China

Author contributions: Liao ZL contributed to study concept and design; Dou L drafted the manuscript; Zeng JT revised the manuscript for important intellectual content; Luo XZ supervised the study; all authors approved the final manuscript.

AI contribution statement: The authors declare that no large language models or generative AI tools were used in the preparation, writing, or editing of this manuscript, nor in the analysis of the underlying data.

Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Xian-Zhang Luo, MD, Chongqing University Cancer Hospital, Chongqing University, No. 181 Hanyu Road, Shapingba District, Chongqing 400030, China. heroluoxz@sina.com

Received: July 14, 2026
Revised: August 6, 2026
Accepted: September 8, 2026
Published online: October 16, 2026
Processing time: 95 Days and 21.6 Hours

Core Tip

Core Tip: These case reports describe staged percutaneous transhepatic cholangial drainage-assisted endoscopic ultrasound-guided gastrojejunostomy for afferent loop syndrome after pancreaticoduodenectomy. By using the percutaneous transhepatic cholangial drainage access to distend and visualize the collapsed afferent limb, this technique overcomes the key technical limitation of conventional endoscopic ultrasound-guided gastrojejunostomy; difficulty in identifying the target loop. The approach achieved technical and clinical success in two cases, suggesting it is a feasible minimally invasive option warranting further evaluation.