Management of afferent limb obstruction by EUS-guided jejunojejunostomy and placement of LAMS

Post written by Hassan Ghoz, MD, and Victoria Gómez, MD, from the Division of Gastroenterology and Hepatology, Section of Advanced Endoscopy, Mayo Clinic, Jacksonville, Florida, USA. We describe a case of a patient presenting with malignant afferent loop obstruction (ALO) which we managed using EUS-guided creation of a jejunojejunostomy with a lumen-apposing metal stent (LAMS). …

Continue reading Management of afferent limb obstruction by EUS-guided jejunojejunostomy and placement of LAMS

Endoscopic jejunojejunostomy by use of a lumen-apposing self-expandable metal stent

Post written by Armin Küllmer, MD, from the Department of Medicine I, Klinikum Ludwigsburg, Ludwigsburg, Germany. We proudly present our video of an endoscopic jejunojejunostomy in order to bypass an obstructed efferent loop after subtotal gastrectomy with Roux-en-Y reconstruction. The endoscopic anastomosis was made using a lumen-apposing stent. The patient suffered from daily vomiting and …

Continue reading Endoscopic jejunojejunostomy by use of a lumen-apposing self-expandable metal stent