Hybrid gastroenterostomy using a lumen-apposing metal stent: a case report focusing on misdeployment and systematic review of the current literature

Autor: Carlo Fabbri, Cecilia Binda, Paola Fugazzola, Monica Sbrancia, Matteo Tomasoni, Chiara Coluccio, Carlo Felix Maria Jung, Enrico Prosperi, Vanni Agnoletti, Luca Ansaloni
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: World Journal of Emergency Surgery, Vol 17, Iss 1, Pp 1-10 (2022)
Druh dokumentu: article
ISSN: 1749-7922
DOI: 10.1186/s13017-022-00409-z
Popis: Abstract Background Gastric outlet obstruction can result from several benign and malignant diseases, in particular gastric, duodenal or pancreatic tumors. Surgical gastroenterostomy and enteral endoscopic stenting have represented effective therapeutic options, although recently endoscopic ultrasound-guided gastroenterostomy using lumen-apposing metal stent (LAMS) is spreading improving the outcome of this condition. However, this procedure, although mini-invasive, is burdened with not negligible complications, including misdeployment. Main body We report the case of a 60-year-old male with gastric outlet obstruction who underwent ultrasound-guided gastroenterostomy using LAMS. The procedure was complicated by LAMS misdeployment being managed by laparoscopy-assisted placement of a second LAMS. We performed a systematic review in order to identify all reported cases of misdeployment in EUS-GE and their management. The literature shows that misdeployment occurs in up to 10% of all EUS-GE procedures with a wide spectrum of possible strategies of treatment. Conclusion The here reported hybrid technique may offer an innovative strategy to manage LAMS misdeployment when this occurs. Moreover, a hybrid approach may be valuable to overcome this complication, especially in early phases of training of EUS-guided gastroenterostomy.
Databáze: Directory of Open Access Journals
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