Endoscopic placement of a lumen-apposing metal stent(LAMS) is a novel means of managing patients with malignant gastric outlet obstruction (GOO), particularly those with prohibitive surgical risk factors. However, long-term data on endoscopic gastrojejunal LAMSs are lacking, and mechanical obstruction may still occur from benign processes. In this video (Video 1, available online at www.giejournal.org), we describe a novel case in which double-pigtail stents were used to manage an obstructed LAMS due to occlusion of the distal flange of the LAMS by the contralateral jejunal wall.
Recommended CitationO'Brien, Corey; Li, Muyi; Holmes, Ian; and Schlachterman, Alexander, "The use of double-pigtailed stents to relieve obstruction of a previous endoscopic gastrojejunal lumen-apposing metal stent." (2021). Division of Gastroenterology and Hepatology Faculty Papers. Paper 82.
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The use of double-pigtailed stents to relieve obstruction of aprevious endoscopic gastrojejunal lumen-apposing metal stent