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
