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Xu MM, Dawod E, Gaidhane M, et al. Reverse Endoscopic Ultrasound-Guided Gastrojejunostomy for the Treatment of Superior Mesenteric Artery Syndrome: A New Concept. Clin Endosc. 2019;53(1):94-96doi: 10.5946/ce.2018.196.
Xu, M. M., Dawod, E., Gaidhane, M., Tyberg, A., & Kahaleh, M. (2020). Reverse Endoscopic Ultrasound-Guided Gastrojejunostomy for the Treatment of Superior Mesenteric Artery Syndrome: A New Concept. Clinical endoscopy, 53(1), 94-96. https://doi.org/10.5946/ce.2018.196
Xu, Ming-Ming, et al. "Reverse Endoscopic Ultrasound-Guided Gastrojejunostomy for the Treatment of Superior Mesenteric Artery Syndrome: A New Concept." Clinical endoscopy vol. 53,1 (2020): 94-96. doi: https://doi.org/10.5946/ce.2018.196
Xu MM, Dawod E, Gaidhane M, Tyberg A, Kahaleh M. Reverse Endoscopic Ultrasound-Guided Gastrojejunostomy for the Treatment of Superior Mesenteric Artery Syndrome: A New Concept. Clin Endosc. 2020 Jan;53(1):94-96. doi: 10.5946/ce.2018.196. Epub 2019 Dec 03. PMID: 31794656; PMCID: PMC7003011.
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Clin Endosc. 2020 Jan;53(1):94-96. doi: 10.5946/ce.2018.196. Epub 2019 Dec 03.

Reverse Endoscopic Ultrasound-Guided Gastrojejunostomy for the Treatment of Superior Mesenteric Artery Syndrome: A New Concept.

Clinical endoscopy

Ming-Ming Xu, Enad Dawod, Monica Gaidhane, Amy Tyberg, Michel Kahaleh

Affiliations

  1. Division of Gastroenterology, Kaiser Permanente, Los Angeles, CA, USA.
  2. Division of Gastroenterology, Weill Cornell Medical College, New York, NY, USA.
  3. Division of Gastroenterology and Hepatology, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ, USA.

PMID: 31794656 PMCID: PMC7003011 DOI: 10.5946/ce.2018.196

Abstract

Superior mesenteric artery syndrome (SMAS) causes compression and partial or complete obstruction of the duodenum, resulting in abdominal pain, nausea, vomiting, and weight loss. If conservative therapy fails, the patient is typically referred for enteral feeding or laparoscopic gastrojejunostomy. The last few years have seen increasing use of endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) for gastric obstruction indications. EUS-GJ involves the creation of a gastric bypass via an echoendoscope in cases in which the small intestine can be punctured under ultrasonographic visualization, resulting in an incision-free, efficient, and safe procedure. In this case report, we present the first case of SMAS treated using a reverse EUS-GJ, and describe the steps and advantages of the procedure in this particular case.

Keywords: Endoscopic ultrasound; Gastrojejunostomy; Superior mesenteric artery syndrome

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