Salvage endoscopic ultrasound-guided gastrojejunostomy as a bridge to definitive surgical therapy for duodenal adenocarcinoma presenting with duodenal stent obstruction.

Authors

• Tiffany Z Yu
• Abishek Agnihotri
• Richard Zheng
• Babar Bashir
• Nayeem Nasher
• Charles J Yeo
• Avinoam Nevler
• Harish Lavu
• Wilbur B Bowne
• Anand Kumar

Publication/Presentation Date

6-1-2023

Abstract

The utilization of endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) in the setting of an obstructed (ingrown) duodenal stent as a bridge to pancreaticoduodenectomy (PD) remains undescribed. Herein, we report a case study of a 51-year-old patient who underwent EUS-GJ using lumen apposing metal stent (LAMS) for an obstructed duodenal stent during neoadjuvant treatment for duodenal adenocarcinoma. The patient ultimately underwent surgical resection by a classic PD 14 weeks after LAMS placement. EUS-GJ using LAMS represents a potential option as a salvage bridge to surgery for duodenal obstruction in the setting of an obstructed duodenal stent.

Volume

16

Issue

3

First Page

387

Last Page

391

ISSN

1865-7265

Published In/Presented At

Yu, T. Z., Agnihotri, A., Zheng, R., Bashir, B., Nasher, N., Yeo, C. J., Nevler, A., Lavu, H., Bowne, W. B., & Kumar, A. (2023). Salvage endoscopic ultrasound-guided gastrojejunostomy as a bridge to definitive surgical therapy for duodenal adenocarcinoma presenting with duodenal stent obstruction. Clinical journal of gastroenterology, 16(3), 387–391. https://doi.org/10.1007/s12328-023-01781-2

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

37029881

Department(s)

Administration and Leadership

Document Type

Article