Eus-Guided Gastrojejunostomy as a Rescue Therapy in a Patient With Multiple Previous Procedures

A 57-years-old female presenting with a pancreatic cancer presented with gastric outlet obstruction. She has a previous duodenal stent and hepaticogastrostomy. A surgical jejunostomy was also carried out, but the improvement was moderate. The proximal jejunal loops were fixed and the long duodenal stent covered almost all the angle of Treitz. A double contrast injection was performed through a jejunal canula and the surgical jejunostomy. A direct endoscopic ultrasound guided gastrojejunostomy technique by using a 20mm lumen-apposing metal stent (HotAxios) was performed without complications. The patient tolerated an oral solid intake. An abdominal CT confirmed the permeability of the gastrojejunostomy.

Citation: Perez-Cuadrado Robles E, Perrod G, Benosman H et al. OP112V EUS-GUIDED GASTROJEJUNOSTOMY AS A RESCUE THERAPY IN A PATIENT WITH MULTIPLE PREVIOUS PROCEDURES. Endoscopy 2021; 53: S47.

Publication History

Article published online:
19 March 2021