Endoscopy 2021; 53(S 01): S93
DOI: 10.1055/s-0041-1724492
Abstracts | ESGE Days
ESGE Days 2021 Oral presentations
Saturday, 27 March 2021 17:00 – 17:45 EUS-guided gastroenterostomy: From theory to practice Room 5

Eus-Guided Gastroenterostomy As A Rescue Treatment After The Failure Of Duodenal Stenting To Alleviate Malignant Outlet Obstruction Due To A Concomitant SMA Syndrome

M Lajin
1   SHARP HealthCare San Diego, La Mesa, United States
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    A 74-year-old female with locally advanced gallbladder cancer presented with vomiting due to a short malignant duodenal stricture. A 2cm Axios was deployed across the stricture.

    A few weeks later her symptoms recurred. Endoscopy revealed cancer progression with pyloric obstruction. A duodenal stent (22mm-12cm) was deployed through LAMS bridging the strictures.

    Her symptoms persisted. Abdominal CT revealed SMA syndrome.

    A gastroscope was advanced through the duodenal stent to D4. A catheter was advanced to the distal duodenum and used to distend the proximal jejunum. EUS-guided gastroenterostomy was then performed using a 2cm hot Axios. She tolerated diet and was discharged.

    Citation: Lajin M. OP228V EUS-GUIDED GASTROENTEROSTOMY AS A RESCUE TREATMENT AFTER THE FAILURE OF DUODENAL STENTING TO ALLEVIATE MALIGNANT OUTLET OBSTRUCTION DUE TO A CONCOMITANT SMA SYNDROME. Endoscopy 2021; 53: S93.


     

    Publikationsverlauf

    Artikel online veröffentlicht:
    19. März 2021

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