ENDOSCOPIC ULTRASOUND (EUS)-GUIDED REPERMEABILIZATION WITH AN ENTERAL STENT THROUGH A GASTROENTERIC LUMEN-APPOSING METAL STENT (LAMS) BURIED BY TUMOR OVERGROWTH

EUS guided-gastroenterostomy for unresectable gastric antrum cancer resulted in recurrent gastric outlet obstruction and LAMS dysfunction due to tumor overgrowth 5-months later. A partially-covered duodenal metal stent was placed to clear retained gastric contents and to facilitate enteroclysis. The buried LAMS lumen was punctured under EUS from the stomach, a guidewire passed through the needle into the jejunum, and an enteral covered metal stent deployed OTW across the LAMS. The patient was discharged uneventfully with adequate soft oral intake reinitiating chemotherapy.

EUS-guided stent-in-stent repermeabilization of a delayed buried gastroenteric LAMS because of tumor overgrowth is simple, effective and hitherto unreported.

Publication History

Article published online:
14 April 2022