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

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...

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Autores principales: Yu, Tiffany Z., Agnihotri, Abishek, Zheng, Richard, Bashir, Babar, Nasher, Nayeem, Yeo, Charles J., Nevler, Avinoam, Lavu, Harish, Bowne, Wilbur B., Kumar, Anand
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Nature Singapore 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10199861/
https://www.ncbi.nlm.nih.gov/pubmed/37029881
http://dx.doi.org/10.1007/s12328-023-01781-2
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author Yu, Tiffany Z.
Agnihotri, Abishek
Zheng, Richard
Bashir, Babar
Nasher, Nayeem
Yeo, Charles J.
Nevler, Avinoam
Lavu, Harish
Bowne, Wilbur B.
Kumar, Anand
author_facet Yu, Tiffany Z.
Agnihotri, Abishek
Zheng, Richard
Bashir, Babar
Nasher, Nayeem
Yeo, Charles J.
Nevler, Avinoam
Lavu, Harish
Bowne, Wilbur B.
Kumar, Anand
author_sort Yu, Tiffany Z.
collection PubMed
description 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.
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spelling pubmed-101998612023-05-22 Salvage endoscopic ultrasound-guided gastrojejunostomy as a bridge to definitive surgical therapy for duodenal adenocarcinoma presenting with duodenal stent obstruction Yu, Tiffany Z. Agnihotri, Abishek Zheng, Richard Bashir, Babar Nasher, Nayeem Yeo, Charles J. Nevler, Avinoam Lavu, Harish Bowne, Wilbur B. Kumar, Anand Clin J Gastroenterol Case Report 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. Springer Nature Singapore 2023-04-08 2023 /pmc/articles/PMC10199861/ /pubmed/37029881 http://dx.doi.org/10.1007/s12328-023-01781-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Yu, Tiffany Z.
Agnihotri, Abishek
Zheng, Richard
Bashir, Babar
Nasher, Nayeem
Yeo, Charles J.
Nevler, Avinoam
Lavu, Harish
Bowne, Wilbur B.
Kumar, Anand
Salvage endoscopic ultrasound-guided gastrojejunostomy as a bridge to definitive surgical therapy for duodenal adenocarcinoma presenting with duodenal stent obstruction
title Salvage endoscopic ultrasound-guided gastrojejunostomy as a bridge to definitive surgical therapy for duodenal adenocarcinoma presenting with duodenal stent obstruction
title_full Salvage endoscopic ultrasound-guided gastrojejunostomy as a bridge to definitive surgical therapy for duodenal adenocarcinoma presenting with duodenal stent obstruction
title_fullStr Salvage endoscopic ultrasound-guided gastrojejunostomy as a bridge to definitive surgical therapy for duodenal adenocarcinoma presenting with duodenal stent obstruction
title_full_unstemmed Salvage endoscopic ultrasound-guided gastrojejunostomy as a bridge to definitive surgical therapy for duodenal adenocarcinoma presenting with duodenal stent obstruction
title_short Salvage endoscopic ultrasound-guided gastrojejunostomy as a bridge to definitive surgical therapy for duodenal adenocarcinoma presenting with duodenal stent obstruction
title_sort salvage endoscopic ultrasound-guided gastrojejunostomy as a bridge to definitive surgical therapy for duodenal adenocarcinoma presenting with duodenal stent obstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10199861/
https://www.ncbi.nlm.nih.gov/pubmed/37029881
http://dx.doi.org/10.1007/s12328-023-01781-2
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