The use of double-pigtailed stents to relieve obstruction of a previous endoscopic gastrojejunal lumen-apposing metal stent

Post written by Corey O’Brien, MD, from the Department of Hospital Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania. 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 …

Continue reading The use of double-pigtailed stents to relieve obstruction of a previous endoscopic gastrojejunal lumen-apposing metal stent

Intraperitoneal echoendoscopy for rescue of a gastrojejunal anastomosis

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 …

Continue reading Intraperitoneal echoendoscopy for rescue of a gastrojejunal anastomosis