Endoscopic ultrasound-guided ileosigmoidostomy using a lumen-apposing metal stent for palliation of malignant small-bowel obstruction

Post written by Donevan Westerveld, MD, from the Division of Gastroenterology & Hepatology, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA. A high-grade malignant small-bowel obstruction (SBO) is typically managed with surgical diversion (ileostomy) or palliative decompression via nasogastric tube or venting gastrostomy. These approaches have a significant impact on a patient’s quality of …

Continue reading Endoscopic ultrasound-guided ileosigmoidostomy using a lumen-apposing metal stent for palliation of malignant small-bowel obstruction

Cystgastrostomy with EUS-directed jejunogastric LAMS

Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weil Cornell Medical College, Cornell University, in New York, New York, USA shares this video case "EUS-directed jejunogastric lumen-apposing metal stent to facilitate cystgastrostomy in a patient with Roux-en-Y anatomy." This case describes a 54-year-old man with Roux-en-Y anatomy who presented with a symptomatic pancreatic …

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Treating a refractory gastrojejunal anastomotic stricture

Hugo Uchima, MD, from the Gastrointestinal Endoscopy Department, Centro Médico Teknon, in Barcelona, Spain shares this video case, “Lumen-apposing metal stent for the treatment of refractory gastrojejunal anastomotic stricture after laparoscopic gastric bypass.” In this video case we show how a short fibrotic stricture can be treated successfully with a lumen-apposing metal stent. Our patient …

Continue reading Treating a refractory gastrojejunal anastomotic stricture