Endoscopy 2021; 53(S 01): S87
DOI: 10.1055/s-0041-1724475
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Resolution of Pyloric Stenosis Using Lumen-Apposing Metal Stent Through the Pylorus

C Chálim Rebelo
1   Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal
,
N Nunes
1   Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal
,
M Flor de Lima
1   Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal
,
DB Moura
1   Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal
,
MP Santos
1   Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal
,
V Costa Santos
1   Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal
,
AC Rego
1   Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal
,
JR Pereira
1   Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal
,
N Paz
1   Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal
,
MA Duarte
1   Gastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal
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78-years-old woman presents with vomiting. Endoscopy showed pyloric stenosis, refractory to balloon dilation. MRI disclosed a mass of the pancreatic head. Was decided for endoscopic treatment.

A guidewire was passed through the pylorus. Then a 20x10mm LAMS (HotAxios-BostonScientific) was inserted: distal flange was deployed in a post-pyloric position while the proximal flange was deployed in the stomach. No complications registered. She’s still asymptomatic.

LAMS, with its configuration and anchoring flanges with larger diameter (29mm), are associated with lower migration rates. They can become an effective and safe option in the treatment of malignant pyloric stenosis refractory to dilation.

Citation: Chálim Rebelo C, Nunes N, Flor de Lima M et al. OP211V RESOLUTION OF PYLORIC STENOSIS USING LUMEN-APPOSING METAL STENT THROUGH THE PYLORUS. Endoscopy 2021; 53: S87.



Publication History

Article published online:
19 March 2021

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