The case involved an elderly woman with locally advanced pancreatic adenocarcinoma. She was recently admitted for malignant gastric outlet obstruction and underwent successful placement of a gastrojejunal LAMS. She was readmitted shortly thereafter with occlusion of the distal flange of the LAMS by the contralateral wall of the jejunum. Two double-pigtail stents were placed through the LAMS to allow for patent drainage.
This is a novel method of resolving obstruction of a gastrojejunal LAMS caused by the contralateral wall of the jejunum.
Use of double pigtail stents is a viable option for relieving obstruction of a gastrojejunal LAMS stent, particularly in elderly patients with multiple comorbidities and prohibitive surgical risk factors.
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