POSSIBLY THE OLDEST KNOWN PATIENT TO HAVE EUS-GUIDED GASTROJEJUNOSTOMY TO ALLEVIATE DUODENAL OBSTRUCTION

A 98-year-old female presented with vomiting, and weight loss. CT showed duodenal obstruction, duodenal diverticula, a ureteral mass, and bilateral hydronephrosis.

Push enteroscopy showed no intraluminal mass and multiple duodenal diverticula associated with narrowing/twisting.

A catheter was left in the jejunum to distend the target loop and EUS-guided gastrojejunostomy was performed using a 2 cm LAMS.

CT confirmed gastric decompression. She tolerated a soft diet.

She declined any workup or intervention for the hydronephrosis, and eventually, died from renal failure under hospice care.

After an extensive search, we think she might be the oldest patient known to have EUS-guided gastrojejunostomy.

Publication History

Article published online:
14 April 2022