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. 2023 Feb 8;8(3):137-139.
doi: 10.1016/j.vgie.2022.11.014. eCollection 2023 Mar.

Management of an iatrogenic duodenal perforation with a helical tack system in a patient with pancreatic cancer complicated by gastric outlet obstruction

Dimitri Belkin  1 , Alessandro Colletta  1 , Mark Hanscom  2 , Prashanth Rau  1 , Sanjay Rau  3 , Neil B Marya  1
Affiliations

Management of an iatrogenic duodenal perforation with a helical tack system in a patient with pancreatic cancer complicated by gastric outlet obstruction

Dimitri Belkin et al. VideoGIE. .

Abstract

Video 1Closure of an iatrogenic perforation with helical tack system and subsequent EUS-guided choledochoduodenostomy.

Keywords: EUS-CD, EUS-guided choledochoduodenostomy; GOO, gastric outlet obstruction; HTS, helical tack system.

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Figures

Figure 1
Figure 1
A CT scan of the abdomen and pelvis showing pancreatic head adenocarcinoma causing extrinsic duodenal compression.
Figure 2
Figure 2
Endoscopic image showing perforation, with stenosed lumen at the top left (yellow arrow). Tack placement locations identified by circled numbers, in order of placement.
Figure 3
Figure 3
Intraprocedure fluoroscopy after helical tack system deployment shows no contrast extravasation and confirms lack of a persistent leak.
Figure 4
Figure 4
Upper GI series demonstrating no leakage of the contrast medium in the duodenum postoperatively.
Figure 5
Figure 5
A CT scan of the abdomen and pelvis with gastrografin demonstrating no leakage of the contrast medium in the duodenum postoperatively.
See this image and copyright information in PMC

References

    1. Dorrell R., Pawa S., Zhou Y., Lalwani N., Pawa R. The diagnostic dilemma of malignant biliary strictures. Diagnostics (Basel) 2020;10:337. - PMC - PubMed
    1. Wang K., Shi J., Ye L. Endoscopic management of iatrogenic gastrointestinal perforations. Laparoscop Endoscop Robot Surg. 2019;2:41–46.
    1. Hernandez A., Marya N.B., Sawas T., et al. Gastrointestinal defect closure using a novel through-the-scope helix tack and suture device compared to endoscopic clips in a survival porcine model (with video) Endosc Int Open. 2021;9:E572–E577. - PMC - PubMed
    1. Rau P., Hanscom M., Amin D., et al. Use of a novel helical tack system for the management of challenging upper gastrointestinal defects. VideoGIE. 2021;7:85–88. - PMC - PubMed
    1. Mahmoud T., Wong K., Song L.M., et al. Initial multicenter experience using a novel endoscopic tack and suture system for challenging GI defect closure and stent fixation (with video) Gastrointest Endosc. 2022;95:373–382. - PubMed

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