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 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.

Utilization and outcomes of extracorporeal CO removal (ECCO R): Systematic review and meta-analysis of arterio-venous and veno-venous ECCO R approaches.

Introduction: Extracorporeal carbon dioxide removal (ECCO R) provides respiratory support to patients suffering from hypercapnic respiratory failure by utilizing an extracorporeal shunt and gas exchange membrane to remove CO from either the venous (VV-ECCO R) or arterial (AV-ECCO R) system before return into the venous site. AV-ECCO R relies on the patient's native cardiac function to generate pressures needed to deliver blood through the extracorporeal circuit. VV-ECCO R utilizes a mechanical pump and can be used to treat patients with inadequate native cardiac function.