Successful EUS-guided gastro-gastrostomy in a patient with advanced ampullary adenocarcinoma and severe gastric distension of the excluded stomach following bariatric surgery

Abstract Text A 67-year-old woman with a history of Roux-en-Y gastric bypass for obesity was diagnosed with ampullary bilio-pancreatic adenocarcinoma and underwent biliodigestive bypass surgery, with intraoperative findings of multiple hepatic metastatic lesions. The patient was started on chemotherapy. One year later, she presented with nausea and vomiting, and imaging revealed severe distension of the stomach, likely due to the accumulation of secretions in the excluded stomach. She was treated with EUS-guided drainage by placing a 10 x 10 mm LAMS above the gastrojejunostomy, creating a gastro-gastrostomy and allowing drainage of clear fluid (video). The LAMS was later replaced with a permanent double pig-tail (DPT) plastic stent. The patient remained asymptomatic following the procedure and continued chemotherapy until her death six months later due to disease progression

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/a7d65403-1a3c-4bdd-b724-91a3055160d7/Uploads/16849_CARA_GIOVANNA%20FINAL%20MEZ%20-%20Realizzato%20con%20Clipchamp.mp4

Publikationsverlauf

Artikel online veröffentlicht:
27. März 2025