Format

Send to

Choose Destination
Rev Esp Enferm Dig. 2020 Feb 5;112. doi: 10.17235/reed.2020.6897/2020. [Epub ahead of print]

Endoscopic ultrasound-directed transgastric ERCP in patients with Roux-en-Y gastric bypass using lumen-apposing metal stents or duodenal self-expandable metal stents. A European single-center experience.

Author information

1
Hospital Universitario Río Hortega.

Abstract

INTRODUCTION:

endoscopic ultrasound-directed transgastric ERCP (EDGE) is emerging in Roux-en-Y gastric bypass.

METHODS:

a single-center a review of 14 consecutive patients to assess EDGE outcomes.

RESULTS:

fourteen EUS-directed gastro-gastrostomy/gastro-jejunostomy were performed using lumen-apposing metal stents (LAMS, n = 10) or duodenal self-expandable metal stents (SEMS, n = 4). Single-session ERCP was clinically successful in 9/12 (75%) cases and subsequent deferred or follow-up procedures in 6/7 (85%). Papillary access and duct cannulation were obtained in all. One migrated biliary stent failed to be removed, with clinically successful EDGE in 13/14 (93%). Dislodgment occurred in 4/19 patients and was successfully managed endoscopically. Three (16%) mild adverse events developed. Transgastric stents were removed after a median of 30 days. No symptom recurrence or fistula were noted a median of 256 days post-transgastric stet-removal.

CONCLUSIONS:

duodenal SEMS and LAMS can be used for either single- or deferred EDGE in Roux-en-Y gastric bypass.

PMID:
32022574
DOI:
10.17235/reed.2020.6897/2020
Free full text

Supplemental Content

Full text links

Icon for Aran ediciones, S.L.
Loading ...
Support Center