Objective:

To report a case of early postoperative efferent loop stenosis (ELS) after pancreaticoduodenectomy (PD) and describe an endoscopic approach for treatment, highlighting its significance in the context of existing treatment options.

Approach:

Key Findings:

• The patient experienced significant improvement in symptoms post-procedure, with a reduction in abdominal distension and nasogastric drainage.
• At 1 month, follow-up showed good passage through the efferent limb and removal of the stent without complications.
• At 3 months, the patient reported a good appetite and weight gain, with no recurrent stenosis observed.

Interpretation:

The combined endoscopic approach effectively addressed angulation-type ELS in this patient, suggesting a potential alternative to surgical revision and highlighting the need for further exploration of this method in similar cases.

Limitations:

• The case study is based on a single patient, limiting generalizability.
• Long-term outcomes and efficacy in larger populations remain to be established, necessitating further research.

Conclusion:

ESD-assisted mucosal release with clip-based traction and temporary FCSEMS placement may be a viable alternative for treating angulation-induced ELS after PD, warranting further investigation.

Attribution Notice

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.