EUS-guided jejuno-enterostomy in a patient with total gastrectomy with Roux-en-Y esophagojejunostomy to facilitate cholangioscopy with electrohydraulic lithotripsy

On January 6, 2023January 6, 2023 By GIEjournalIn VideoGIELeave a comment

Post written by Yervant Ichkhanian, MD, from the Department of Medicine, Henry Ford Hospital, Detroit, Michigan, USA. A 67-year-old man with a history of total gastrectomy before Roux-en-Y esophagojejunostomy reconstruction in the setting of gastric adenocarcinoma presented with extensive choledocholithiasis with a benign terminal bile duct stricture. In our case, the patient underwent jejuno-enterostomy using a …

Continue reading EUS-guided jejuno-enterostomy in a patient with total gastrectomy with Roux-en-Y esophagojejunostomy to facilitate cholangioscopy with electrohydraulic lithotripsy

Endoscopic salvage of a large EJA dehiscence

On July 15, 2017July 10, 2017 By GIEjournalIn Investigations, VideoGIELeave a comment

Post written by Omar Mousa, MBBS, from the Department of Gastroenterology and Hepatology, Mayo Clinic Florida. A 34-year-old woman with invasive gastric adenocarcinoma underwent total gastrectomy with en bloc splenectomy, distal esophagectomy, subtotal pancreatectomy, and intraoperative percutaneous jejunal tube placement. An esophagojejunostomy anastomosis (EJA) dehiscence was suspected 7 days after the initial procedure when the …

Continue reading Endoscopic salvage of a large EJA dehiscence