Endoscopy 2020; 52(S 01): S126
DOI: 10.1055/s-0040-1704387
ESGE Days 2020 oral presentations
Saturday, April 25, 2020 11:00 – 13:00 EUS- guided therapy: From training to complications Liffey Meeting Room 3
© Georg Thieme Verlag KG Stuttgart · New York

THE LAMS-IN-LAMS RESCUE TECHNIQUE TO RESOLVE AN EXTREME BURIED STENT

M Izquierdo
1   Hospital Universitari de Bellvitge, Barcelona, Spain
,
F Bas-Cutrina
1   Hospital Universitari de Bellvitge, Barcelona, Spain
,
JB Gornals
1   Hospital Universitari de Bellvitge, Barcelona, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Four weeks after a complete resolution of a pancreatic collection, the proximal end of the LAMS (10x10-mm, HXS) was totally covered by gastric mucosa, and the buried stent was located 1-cm far from the gastric wall by fluoroscopy/EUS image. Rescue strategy: (I) ostomy repermeabilization by EUS-guided intervention (19-G needle, 6-Fr cystotome and 8-mm balloon); (II) placement of second coaxial LAMS (15x10-mm, HXS) plus a pigtail; (III) Four-weeks after, migration of the second LAMS and persistence of the pigtail maintaining the ostomy permeable. Ostomy tract dilation allowing a first endoscopic identification of the buried LAMS, and a successful extraction.