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Clin J Gastroenterol
; 16(3): 387-391, 2023 Jun.
Article
En
| MEDLINE
| ID: mdl-37029881
The utilization of endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) in the setting of an obstructed (ingrown) duodenal stent as a bridge to pancreaticoduodenectomy (PD) remains undescribed. Herein, we report a case study of a 51-year-old patient who underwent EUS-GJ using lumen apposing metal stent (LAMS) for an obstructed duodenal stent during neoadjuvant treatment for duodenal adenocarcinoma. The patient ultimately underwent surgical resection by a classic PD 14 weeks after LAMS placement. EUS-GJ using LAMS represents a potential option as a salvage bridge to surgery for duodenal obstruction in the setting of an obstructed duodenal stent.
Adenocarcinoma , Duodenal Neoplasms , Duodenal Obstruction , Gastric Bypass , Humans , Middle Aged , Duodenal Obstruction/diagnostic imaging , Duodenal Obstruction/etiology , Duodenal Obstruction/surgery , Stents , Duodenal Neoplasms/complications , Duodenal Neoplasms/diagnostic imaging , Duodenal Neoplasms/surgery , Ultrasonography, Interventional , Adenocarcinoma/complications , Adenocarcinoma/diagnostic imaging , Adenocarcinoma/surgery