A New Type of Luminal Apposing Stent Misdeployment in Gastrojejunostomy: Endoscopic Rescue Techniques

Abstract Text A 70-year-old male with malignant gastric outlet obstruction (mGGO) secondary to unresectable antral-pyloric neoplasia underwent endoscopic ultrasound-guided gastrojejunostomy (GY-USE). A luminal apposing metal stent (LAMS, 20x10 mm) was placed using a catheter-filling approach. During deployment, the distal flange failed to expand, causing complete displacement of the LAMS into the jejunal loop. A rescue guidewire was advanced, but repositioning attempts with a new LAMS were unsuccessful. The anastomosis was revised using peritoneoscopy-NOTES (Natural Orifice Transluminal Endoscopic Surgery), and a new LAMS was deployed. The displaced LAMS was successfully retrieved. The patient remained asymptomatic and resumed oral intake after 48 hours without complications.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/ed8bb729-b526-48fa-82b5-6192469d35c3/Uploads/16849_RESCATE_GYUSE%20PARA%20LA%20ESGE%20CALIDAD%20ALTA.mp4

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Artikel online veröffentlicht:
27. März 2025