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

DOI: 10.17235/reed.2020.6897/2020

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,

Abstract
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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de Benito Sanz M, Carbajo A, Sánchez-Ocaña Hernández R, Chavarria C, Bagaza Pérez de Rozas S, García-Alonso F, et all. 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. 6897/2020


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Publication history

Received: 22/01/2020

Accepted: 22/01/2020

Online First: 05/02/2020

Published: 05/03/2020

Article Online First time: 14 days

Article editing time: 43 days


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