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. 2017 Sep 29;2(12):349-352.
doi: 10.1016/j.vgie.2017.08.003. eCollection 2017 Dec.

Venting post-Whipple benign gastric outlet obstruction with temporary bilateral fully covered metal stents

Shayan Irani  1 , Adnan Alseidi  1
Affiliations

Venting post-Whipple benign gastric outlet obstruction with temporary bilateral fully covered metal stents

Shayan Irani et al. VideoGIE. .
No abstract available

Keywords: FCSEMS, fully covered self-expandable metal stent; GOO, gastric outlet obstruction; SEMS, self-expandable metal stent.

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Figures

Figure 1
Figure 1
In patient 1, (A) CT scan demonstrating dehiscence of gastric suture line (blue arrow). B, Confirmed endoscopically.
Figure 2
Figure 2
In patient 1, development of severe gastric outlet obstruction 6 weeks later (A) on upper GI series and (B) confirmed endoscopically.
Figure 3
Figure 3
In patient 1, (A) placement of a biliary fully covered self-expandable metal stent into the afferent limb, followed by (B) an 18-mm esophageal fully covered self-expandable metal stent into the efferent limb.
Figure 4
Figure 4
In patient 1, stents stitched to gastric wall (small blue arrow), each other (large blue arrow), and externally to an existing percutaneously placed gastrostomy tube (yellow arrow).
Figure 5
Figure 5
In patient 1, 9 weeks later stents are easily removed, demonstrating patent afferent and efferent limbs.
Figure 6
Figure 6
In patient 2, bilateral 18-mm esophageal fully covered self-expandable metal stents to treat a benign gastric outlet obstruction 18 days after a Whipple operation for pancreatic adenocarcinoma.
See this image and copyright information in PMC

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