Intraperitoneal echoendoscopy for rescue of a gastrojejunal anastomosis

James_headshot Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA.

We describe our experience rescuing a maldeployed lumen-apposing metal stent (LAMS) by passing an endoscopic ultrasound scope through the proximal end of the stent and re-puncturing the target bowel from within the peritoneum.

The ability to think on one’s feet is a necessity when performing therapeutic endoscopy. Many providers in a similar situation would default to a surgical consultation. We aimed to demonstrate that endoscopy offers solutions to problems (in this case, a maldeployed LAMS) that can help patients avoid surgery. Several elements of this case are noteworthy including: transgastric echoendoscopy and coaxial placement of a second LAMS..

Intraperitoneal echoendoscopy may have numerous future applications. This technique should be considered as an active area of research in minimally invasive endoscopic therapy.

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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