Complete duodenal obstruction and EUS-guided gastroenterostomy: What to do? (with video).

IF 4.4 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Endoscopic Ultrasound Pub Date : 2023-07-01 Epub Date: 2023-09-18 DOI:10.1097/eus.0000000000000019

Maria Puigcerver-Mas, Dani Luna-Rodriguez, Albert Garcia-Sumalla, Sergi Quintana-Carbo, Sandra Maisterra, Joan B Gornals

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引用次数: 0

Abstract

Gastroenterostomy using a lumen-apposing metal stent (LAMS) is an effective procedure to solve gastric outlet obstruction, but usually, an oroenteral catheter is necessary for filling the small bowel. [1] What to do in cases of complete obstruction when it is not possible even to advance a guidewire through? The academic purpose of this work was to expose a useful approach that may be considered in this scenario. A 64-year-old woman was referred for a complete duodenal obstruction due to pancreatic adenocarcinoma: first, EUS – guided identification of the collapsed small bowel at the Treitz area, and second, EUS-guided puncture using a 22G needle (without stylet and flushed with saline to avoid air injection), filling contrast and saline into the lumen bowel. A submucosal injection of the enteral wall can be recognized as easy to perform and can help to access nicely the enteral lumen, without doubts and fluoroscopy assistance [

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完全性十二指肠梗阻和EUS引导下的胃肠造口术：该怎么办？（带视频）。

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来源期刊

Endoscopic Ultrasound GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

6.20

自引率

11.10%

发文量

144

期刊介绍： Endoscopic Ultrasound, a publication of Euro-EUS Scientific Committee, Asia-Pacific EUS Task Force and Latin American Chapter of EUS, is a peer-reviewed online journal with Quarterly print on demand compilation of issues published. The journal’s full text is available online at http://www.eusjournal.com. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal does not charge for submission, processing or publication of manuscripts and even for color reproduction of photographs.