Complete intra-peritoneal maldeployment of a LAMS during EUS-GEA for mGOO: rescue retrieval with peritoneoscopy through NOTES

Abstract Text A 75-year-old female developed malignant gastric outlet obstruction(mGOO) so we scheduled an endoscopic ultrasound(EUS) in order to create a gastro-entero-anastomosis (GEA), but a complete intra-peritoneal maldeployment of the LAMS occurred while performing free-hands technique. We then decided to achieve the EUS-GEA with a second but successful attempt and after that, we moved to endoscopically manage the retrieval of the intra-abdominal LAMS using the NOTES(Natural Orifice Transluminal Endoscopic Surgery), performing a trans-gastric peritoneoscopy with the retrieval of the LAMS and closing the iatrogenic gastric leak with three metallic clips. No extra-luminal diffusion of contrast was seen at the fluoroscopy [1].

 

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Conflicts of interest

Authors do not have any conflict of interest to disclose.

• 1 Sanchez-Ocana R, Penas-Herrero I, Gil-Simon P, de la Serna-Higuera C, Perez-Miranda M.. Natural orifice transluminal endoscopic surgery salvage of direct EUS-guided gastrojejunostomy. VideoGIE 2017; 2 (12) 346-348

Publication History

Article published online:
14 April 2023