Fixation of the proximal flange of a lumen-apposing metal stent using a through-the-scope endoscopic suturing system to prevent stent migration in single-session EUS-directed transgastric ERCP: a pilot study.
Gastrointest Endosc
; 100(1): 132-135, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38382885
ABSTRACT
BACKGROUND AND AIMS:
With the global obesity pandemic, clinical scenarios requiring urgent ERCP in patients with gastric bypass surgery are on the rise, and single-session EUS-directed transgastric ERCP (SS-EDGE) can effectively address these technical challenges. The aim of this study was to evaluate and describe the safe and effective use of a through-the-scope endoscopic suturing system for anchoring the lumen-apposing metal stents (LAMSs) during SS-EDGE.METHODS:
Six patients with Roux-en-Y gastric bypass (RYGB) underwent SS-EDGE at our center. A through-the-scope endoscopic suturing system was used for anchoring the LAMSs during SS-EDGE.RESULTS:
Clinical and technical success was achieved in all 6 patients without any adverse events related to the procedure. No stent migration, pneumoperitoneum, or GI perforation was noted. At the 4-week follow-up, no stent migration was noted, and the through-the-scope suturing system remained anchored. LAMSs along with tacks were removed, and gastric fistulae were successfully closed endoscopically in all patients to prevent weight gain.CONCLUSIONS:
Use of through-the-scope endoscopic suturing can be a safe, reliable, and potentially cost-effective novel technique for LAMS fixation to successfully perform SS-EDGE in RYGB patients.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Derivação Gástrica
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Stents
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Técnicas de Sutura
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Colangiopancreatografia Retrógrada Endoscópica
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Endossonografia
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article