Endoscopy 2022; 54(S 01): S69
DOI: 10.1055/s-0042-1744720
Abstracts | ESGE Days 2022
ESGE Days 2022 Oral presentations
14:00–15:00 Friday, 29 April 2022 Club E. Small bowel endoscopy: special challenges – special solutions

RESCUE ENTERO-ENTEROSTOMY WITH A SELF-EXPANDABLE METAL STENT (SEMS) AFTER A FAILED DEPLOYMENT OF A LUMEN-APPOSING METAL STENT (LAMS): IDENTIFY THE DIRECTION OF BOWEL TRANSIT IS KEY!

Authors

  • V. Busto

    1   University Hospital of Navarre, Gastroenterology, Pamplona, Spain

  • S. Bravo

    1   University Hospital of Navarre, Gastroenterology, Pamplona, Spain

  • M. Ganuza

    1   University Hospital of Navarre, Gastroenterology, Pamplona, Spain

  • P. Salmón

    1   University Hospital of Navarre, Gastroenterology, Pamplona, Spain

  • A. Arrubla

    1   University Hospital of Navarre, Gastroenterology, Pamplona, Spain

  • I. Rodríguez

    1   University Hospital of Navarre, Gastroenterology, Pamplona, Spain

  • I. Aresté

    1   University Hospital of Navarre, Gastroenterology, Pamplona, Spain

  • L. Uribarri

    1   University Hospital of Navarre, Gastroenterology, Pamplona, Spain

  • F. Estremera

    1   University Hospital of Navarre, Gastroenterology, Pamplona, Spain

  • J.J. Vila

    1   University Hospital of Navarre, Gastroenterology, Pamplona, Spain
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    A 40 year-old woman with acute pancreatitis requiring several abdominal surgeries presented with an ileo-cutaneous fistula.

    A pediatric gastroscope was inserted through the fistula to the afferent loop (AL). An echoendoscope was inserted through the ileostomy identifying the AL. EUS-guided entero-enterostomy with a lumen-apposing-metallic-stent (LAMS) failed due to loop stiffness with migration of the LAMS to the peritoneal cavity. The LAMS was removed with an endoscope and a rescue entero-enterostomy with a SEMS from the ileal to the AL was performed to bypass and close the fistula.

    Entero-enterostomies with SEMS must preserve the bowel transit to avoid secondary bowel occlusion.


     

    Publikationsverlauf

    Artikel online veröffentlicht:
    14. April 2022

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