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. 2023 Dec;55(S 01):E370-E372.
doi: 10.1055/a-1996-0346. Epub 2023 Jan 16.

Transcolonic lumen-apposing metal stent placement complicating a palliative endoscopic ultrasound-guided gastrojejunostomy

Viliam Masaryk  1 , Frank Meyer  2 , Uwe Will  1
Affiliations

Transcolonic lumen-apposing metal stent placement complicating a palliative endoscopic ultrasound-guided gastrojejunostomy

Viliam Masaryk et al. Endoscopy. 2023 Dec.
No abstract available

PubMed Disclaimer

Conflict of interest statement

Prof. U. Will is a consultant for Boston Scientific. The remaining authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Endoscopic ultrasound (EUS) images showing: a the EUS-guided gastrojejunostomy, with no evidence of colonic interposition seen; b the colonic wall between the two flanges following placement of the lumen-apposing metal stent (LAMS); c the colonic wall highlighted between the two flanges of the LAMS; d ultrasound check showing appropriate stent positioning: on the left side is the stomach with air in it, on the right side is the jejunum and the colonic wall is not recognizable in this image.
Fig. 2
Fig. 2
Endoscopic images 14 days later showing: a the dislocated lumen-apposing metal stent (LAMS) with a gastrocolostomy and colonic content visible in the stomach; b a view through the LAMS into the colon, with a colojejunal fistula at the upper edge of the LAMS (black arrow); c the colojejunal fistula at the edge of the LAMS after passage with the endoscope; d the fistula.
Fig. 3
Fig. 3
Endoscopic views showing: a the aboral margin of a fully covered (except proximal flange) 6-cm duodenal stent during placement; b the endoluminal view from the stomach after stent placement.
Fig. 4
Fig. 4
Final appearances on: a ultrasound scan, with the lumen-apposing metal stent (LAMS) not well recognizable and the distended intestinal stent visible; b a reconstructed computed tomography scan, with both stents in situ: a functioning gastrojejunostomy created by the LAMS between the stomach and colon, and the transcolonic intestinal stent between the stomach and jejunum.
See this image and copyright information in PMC

References

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