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

doi:10.4253/wjge.125483

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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

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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

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Figure 1 Radiographic images of afferent loop obstruction in case 1. A and B: Computed tomography; C: Percutaneous transhepatic cholangial drainage; D: After completion of percutaneous transhepatic cholangial drainage-assisted endoscopic ultrasound-guided gastrojejunostomy. Yellow arrow indicates the obstructed loop; blue arrow indicates the jejunum near the stomach; green arrow indicates the stomach; black arrow indicates the lumen-apposing metal stent.

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Figure 2 Procedural steps of percutaneous transhepatic cholangial drainage-assisted endoscopic ultrasound-guided gastrojejunostomy. PTCD: Percutaneous transhepatic cholangial drainage; EUS-GE: Endoscopic ultrasound-guided gastrojejunostomy; LAMS: Lumen-apposing metal stent.

Citation: Liao ZL, Zeng JT, Dou L, Luo XZ. Staged percutaneous transhepatic cholangial drainage-assisted endoscopic ultrasound-guided gastrojejunostomy for afferent loop syndrome after pancreaticoduodenectomy: Two case reports. World J Gastrointest Endosc 2026; 18(10): 125483
URL: https://www.wjgnet.com/1948-5190/full/v18/i10/125483.htm
DOI: https://dx.doi.org/10.4253/wjge.125483

Liao ZL, Zeng JT, Dou L, Luo XZ. Staged percutaneous transhepatic cholangial drainage-assisted endoscopic ultrasound-guided gastrojejunostomy for afferent loop syndrome after pancreaticoduodenectomy: Two case reports. World J Gastrointest Endosc 2026; 18(10): 125483 [DOI: 10.4253/wjge.125483]

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