Year 2020 / Volume 112 / Number 3
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Year 2020 / Volume 112 / Number 3

Original

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

211-215

Marina de Benito Sanz, Ana Yaiza Carbajo, Ramón Sánchez-Ocaña Hernández, Carlos Chavarria, Sergio Bagaza Pérez de Rozas, Francisco Javier García-Alonso, Carlos de la Serna Higuera, Manuel Perez-Miranda,

Introduction: endoscopic ultrasound-directed transgastric ERCP is emerging in Roux-en-Y gastric bypass. Methods: a review of 14 consecutive patients. Results: fourteen EUS-directed gastro-gastrostomy/gastro-jejunostomy were performed using lumen-apposing metal stents or duodenal self-expandable metal stents. Single-session ERCP was successful in 9/12 cases and deferred procedures or follow-up in 6/7 cases. Papillary access was obtained in all cases. Dislodgment occurred in 4/19 patients and was handled successfully endoscopically. Transgastric stents were removed after a median of 30 days. No recurrence/fistula were noted after a median of 256 days post-removal. Conclusions: duodenal self-expandable and lumen-apposing metal stents can be used for single-deferred endoscopic ultrasound-directed transgastric ERCP in Roux-en-Y gastric bypass.

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Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
© 2020 The Spanish Journal of Gastroenterology