Lumen Apposing Metal Stent (Hot-Axios) in the Treatment of Refractory Peptic Duodenal Stenosis

M Moreira; J Fernandes; T Araújo; J Canena; L Lopes

doi:10.1055/s-0041-1724650

Endoscopy, Table of Contents

Endoscopy 2021; 53(S 01): S146-S147
DOI: 10.1055/s-0041-1724650

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Lumen Apposing Metal Stent (Hot-Axios) in the Treatment of Refractory Peptic Duodenal Stenosis

M Moreira

¹Santa Luzia Hospital - Unidade Local de Saúde do Alto Minho, Department of Gastroenterology, Viana do Castelo, Portugal

,

J Fernandes

¹Santa Luzia Hospital - Unidade Local de Saúde do Alto Minho, Department of Gastroenterology, Viana do Castelo, Portugal

,

T Araújo

¹Santa Luzia Hospital - Unidade Local de Saúde do Alto Minho, Department of Gastroenterology, Viana do Castelo, Portugal

,

J Canena

²Professor Doutor Fernando Fonseca Hospital, Department of Gastroenterology, Amadora, Portugal

³Nova Medical School/Faculty of Medical Sciences, Department of Gastroenterology, Lisbon, Portugal

,

L Lopes

¹Santa Luzia Hospital - Unidade Local de Saúde do Alto Minho, Department of Gastroenterology, Viana do Castelo, Portugal

⁴Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal

⁵CVS/3B’s - PT Government Associate Laboratory, Braga, Portugal

› Author Affiliations

Abstract

Full Text

77-year-old man with a history of duodenal ulcer, admitted to the emergency department for late postprandial vomiting. Upper gastrointestinal endoscopy showed punctiform stenosis in the bolbar vertex with a longitudinal extension of <5 mm.

Several balloon dilation sessions were performed without technical or clinical success.

Given the characteristics of the stenosis, it was decided to place a lumen-apposing metal stent (LAMS), Hot-Axios (15x10 mm) with immediate technical and clinical success, without recurrence of vomiting.

LAMS are being used for the treatment of short segment GI strictures (<10mm) with good clinical and technical outcomes, based in few case reports.

Citation: Moreira M, Fernandes J, Araújo T et al. eP154V LUMEN APPOSING METAL STENT (HOT-AXIOS) IN THE TREATMENT OF REFRACTORY PEPTIC DUODENAL STENOSIS. Endoscopy 2021; 53: S146.