Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jun 25;9(10):443-445.
doi: 10.1016/j.vgie.2024.06.005. eCollection 2024 Oct.

Endoscopic management of delayed gastrojejunocolic fistula after successful EUS gastrojejunostomy

Michael Jorgensen  1 , Neil Nadpara  2 , Meera P Bhardwaj  2
Affiliations

Endoscopic management of delayed gastrojejunocolic fistula after successful EUS gastrojejunostomy

Michael Jorgensen et al. VideoGIE. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

All authors disclosed no financial relationships.

Figures

Figure 1
Figure 1
CT scan demonstrating the displaced distal flange of the lumen-apposing metal stent in the colon.
Figure 2
Figure 2
After entering the jejunum via the lumen-apposing metal stent, ulceration is noted at the distal flange of the stent.
Figure 3
Figure 3
View of the lumen-apposing metal stent from the stomach, with guidewire placement through the jejunocolic fistula.
Figure 4
Figure 4
Two guidewires were placed through the lumen-apposing metal stent: one from the stomach into the colon and the second from the stomach into the small bowel.
Figure 5
Figure 5
View of the fistula tract after lumen-apposing metal stent removal.
Figure 6
Figure 6
Upper GI study after lumen-apposing metal stent removal and closure of jejunoclonic fistula tract, showing absence of leak.
Figure 7
Figure 7
The second EGD showing small fistula from jejunum to colon along the tract from the stomach to the jejunum.
See this image and copyright information in PMC

References

    1. Khashab M.A., Kumbhari V., Grimm I.S., et al. EUS-guided gastroenterostomy: the first U.S. clinical experience (with video) Gastrointest Endosc. 2015;82:932–938. - PubMed
    1. Tyberg A., Perez-Miranda M., Sanchez-Ocaña R., et al. Endoscopic ultrasound-guided gastrojejunostomy with a lumen-apposing metal stent: a multicenter, international experience. Endosc Int Open. 2016;4:E276–E281. - PMC - PubMed
    1. Ichkhanian Y., Runge T., Jovani M., et al. Management of adverse events of EUS-directed transgastric ERCP procedure. VideoGIE. 2020;5:260–263. - PMC - PubMed
    1. Shrigiriwar A., Mony S., Zhang L.Y., et al. Iatrogenic perforation during lumen-apposing metal stent deployment closed using an over-the-scope stent fixation clip device. VideoGIE. 2023;8:100–103. - PMC - PubMed
    1. Ghandour B., Bejjani M., Irani S.S., et al. Classification, outcomes, and management of misdeployed stents during EUS-guided gastroenterostomy. Gastrointest Endosc. 2022;95:80–89a. - PubMed

LinkOut - more resources