Post written by Kambiz Kadkhodayan, MD, and Muhammad Hasan, MD, FACG, from the Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, Florida, and Shayan S. Irani, MD, from Virginia Mason Medical Center, Seattle, Washington, USA. This study introduces a novel technique to partially reverse Roux-en-Y gastric bypass, without the need for an indwelling lumen-apposing metal stent (LAMS). In selected malnourished patients who were …
Tag: Lumen-apposing metal stent
Salvage reconstruction of an endoscopic ultrasound–guided gastroenterostomy using a tubular enteral stent after inadvertent transcolonic lumen-apposing metal stent deployment
Post written by Miguel Martins, MD, Joana Mota, MD, and Filipe Vilas-Boas, MD, PhD, from the Gastroenterology Department, Centro Hospitalar Universitário São João, and Faculty of Medicine of University of Porto, Porto, Portugal. A 59-year-old woman receiving chemotherapy for adenocarcinoma of the third duodenal portion developed gastric outlet obstruction from disease progression and underwent EUS-guided gastroenterostomy (EUS-GE). During EUS-GE, an unrecognized transverse …
Endoscopic reversal of Roux-en-Y gastric bypass using lumen-apposing metal stent for the treatment of excessive weight loss and hyperammonemic encephalopathy
Post written by Ricardo Almeida, MD, from the Universidade Federal de São Paulo, São Paulo, Hugo Guedes, MD, Liliana Mendes, MD, and Carlos Rassi, MD, from the Department of Gastroenterology, Hospital Sírio-Libanês, Brasília, Brazil, Roberto Simons-Linares, MD, MSc, from the Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio, Prabhleen Chahal, MD, MASGE, FACG, and …
Transmural gallbladder drainage using a novel endosonographic-guided suture (with video)
Post written by Andrew C. Storm, MD, from Wake Forest School of Medicine, Winston-Salem, NC, USA. I hope you will scope out our manuscript in GIE, “Transmural gallbladder drainage using a novel endosonographic-guided suture (with video),” by Jad P. AbiMansour and our colleagues. Since that preclinical study, the EndoFix device (Softac Medical Technologies Inc, Plainville, Mass, USA) …
Status of training in the use of lumen-apposing metal stents for therapeutic endoscopic ultrasound during advanced endoscopy fellowship: a survey questionnaire
Post written by Yasi Xiao, MD, from the Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. The aim of this study was to evaluate the status of training with lumen-apposing metal stents (LAMSs) for therapeutic endoscopic ultrasound (EUS) during advanced endoscopy training. The …
The best of EUS in 2025
Post written by GIE Senior Associate Editor David L. Diehl, MD, MASGE, AGAF, from the Department of Gastroenterology and Hepatology, Geisinger Medical Center, Danville, Pennsylvania, USA. I sat down to write an Endoscopedia post on my recently published article, “The best of EUS in 2025.” I got about 500 words in, then decided to scrap that approach. …
Endoscopic management of active arterial bleeding in walled-off necrosis collection
Post written by Matthew Eganhouse, MD, and Ajaypal Singh, MD, from the Division of Digestive Diseases, Rush University Medical Center, Chicago, Illinois, USA. In our recently published video case, we describe, to our knowledge, the first time endoscopic hemostasis was achieved from active arterial bleeding within a walled-off necrosis (WON) cavity. Our patient, a 45-year-old woman, initially underwent EUS-guided cystgastrostomy …
Continue reading Endoscopic management of active arterial bleeding in walled-off necrosis collection
Tack-only fixation of lumen-apposing metal stents: leave the suture at home
Post written by Andy Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. The availability of suture-based technologies is growing in flexible GI endoscopy, with one of the newcomers the X-Tack device (Boston Scientific, Marlborough, Mass, USA). This device, conceived with Dr Christopher Gostout and Apollo Endosurgery, uses steel “screws” or tacks that are drilled into …
Continue reading Tack-only fixation of lumen-apposing metal stents: leave the suture at home
Safety and efficacy of EUS-guided pelvic abscess drainage with lumen-apposing metal stents for complicated acute diverticulitis
Post written by Andrea Lisotti, MD, from the Gastroenterology Unit, Hospital of Imola, University of Bologna, Italy, and the Gastroenterology Unit, Hôpital Privé Jean Mermoz, Lyon, France. Our study evaluated the safety and efficacy of endoscopic ultrasound—guided pelvic abscess drainage (EUS-PAD) using lumen-apposing metal stents in patients with complicated acute diverticulitis. This minimally invasive approach …
Retrograde device-assisted lumen-apposing metal stent insertion for candy cane syndrome
Post written by Anne Kimberly Lim-Fernandez, MD, from the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. Candy cane syndrome is an uncommon but clinically significant adverse event after gastric bypass or total gastrectomy. It arises when the long blind pouch at the anastomosis preferentially fills with ingested food. This can lead to symptoms …
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