Delayed conversion of a EUS-guided gastrojejunostomy in a EUS-guided gastro-colostomy: a rare complication

Abstract Text A 60 years-old male patient with metastatic pancreatic cancer presented with gastric outlet obstruction due to a distal duodenal stenosis. Endoscopic-ultrasound (EUS)-guided gastrojejunostomy was performed using the freehand technique and a 20mm lumen-apposing metal stent was deployed. The patient recovered a solid diet 48 later and a CT scan confirmed the position of the stent. Twelve days later, the patient presented with peritonitis and a new CT scan confirmed a gastro-colonic anastomosis with a jejunal perforation probably due to the migration of the stent that was traversing a colonic loop not identified during previous EUS.

Conflicts of interest

Enrique Perez-Cuadrado-Robles is consultant for Boston Scientific

Publication History

Article published online:
14 April 2023