Lessons learned from a salvage procedure for LAMS misplacement during EUS-guided gastrojejunal bypass

Post written by Bruno Costa Martins, MD, PhD, from the Hospital Alemão Oswaldo Cruz, Endoscopy Unit, São Paulo, Brazil. We described a case of an 88-year-old patient with obstructive symptoms due to advanced head pancreatic neoplasm. EUS-guided gastrojejunal bypass (EUS-GJ) was chosen to palliate gastric outlet obstruction symptoms. EUS-GJ bypass was attempted with the aid …

Continue reading Lessons learned from a salvage procedure for LAMS misplacement during EUS-guided gastrojejunal bypass

Endoscopic management of symptomatic walled-off omental fat necrosis

Post written by C. Roberto Simons-Linares, MD, and Prabhleen Chahal, MD, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. We describe a case a 57-year-old man with a history of neuroendocrine tumor of the pancreas status post-laparoscopic distal pancreatectomy and splenectomy that presented to us with severe abdominal pain and found …

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Lumen-apposing metal stent use to maintain a surgical anastomosis

Post written by Mohammed Barawi, MD, from the Division of Gastroenterology and Interventional Endoscopy, Ascension St John Hospital, Detroit, Michigan. In this video, we show the use of a lumen-opposing metal stent (AXIO stent) to maintain a stenosing gastroenterostomy in a patient with superior mesenteric artery syndrome. This video is meant to show one of …

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Safety of EUS-guided gallbladder drainage using a LAMS in patients requiring anticoagulation

Post written by Catherine Frakes Vozzo, DO, and Prabhleen Chahal, MD, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. The purpose of our case series was to assess the safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) in patients requiring chronic anticoagulation. EUS-GBD is performed to treat acute cholecystitis in patients who …

Continue reading Safety of EUS-guided gallbladder drainage using a LAMS in patients requiring anticoagulation

EUS-guided transrectal drainage of pelvic fluid collections using electrocautery-enhanced lumen-apposing metal stents

Post written by Andrea Lisotti, MD, from the Gastroenterology Unit, Hospital of Imola, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy. Pelvic fluid collections (PFCs) are frequent adverse events of abdominal surgery or inflammatory conditions. Percutaneous approach for deep PFC could be challenging and could result in longer and painful recovery; trans-vaginal …

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EUS-guided duodenojejunostomy by use of a 2-cm LAMS to treat proximal jejunal stricture in a patient with chronic pancreatitis

Post written by Michael Lajin, MD, from the Sharp Grossmont Hospital, La Mesa, California, USA. A 26-year-old man presented with a 2-week history of nausea and vomiting. His medical history was significant for recurrent pancreatitis secondary to hypertriglyceridemia, infected walled-off necrosis requiring cystogastrostomy, splenic vein thrombosis resulting in severe portal hypertensive gastropathy, and large gastric …

Continue reading EUS-guided duodenojejunostomy by use of a 2-cm LAMS to treat proximal jejunal stricture in a patient with chronic pancreatitis

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 …

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EUS-guided enterocolostomy for palliation of malignant distal small-bowel obstruction

Post written by Shelini Sooklal, MD, and Anand Kumar, MD, MPH, from the Division of Gastroenterology, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA. Our video case describes the implementation of a therapeutic endoscopic ultrasound (EUS) technique to provide palliative relief of recurrent small bowel obstruction in a patient with metastatic adenocarcinoma of the colon …

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Efficacy of a novel lumen-apposing metal stent for the treatment of symptomatic pancreatic pseudocysts

Post written by Tae Jun Song, MD, PhD, Sang Soo Lee, MD, PhD, Jong Ho Moon, MD, PhD, from the Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, and the Department of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon, Republic of Korea. We investigated the effectiveness and safety …

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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