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Use of lumen apposing metal stents in patients with altered gastrointestinal anatomy.
Curr Opin Gastroenterol
September 2023
Division of Gastroenterology and Hepatology, Maimonides Medical Center.
Purpose Of Review: Lumen apposing metal stents (LAMS) have been increasingly used to manage patients with surgically altered anatomy (SAA), who would have otherwise required percutaneous or surgical interventions. Via the creation of de-novo anastomoses, LAMS provides a conduit to access distal parts of the gastrointestinal tract to perform various interventions.
Recent Findings: Pancreatobiliary (PB) and non-PB interventions are challenging in patients with SAA.
Biliary Endoscopy in Altered Anatomy.
Gastrointest Endosc Clin N Am
July 2022
Department of Gastroenterology & Hepatology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Endoscopic retrograde cholangiopancreatography (ERCP) is the standard treatment of biliary disease with high success rates of greater than 90% in patients with standard anatomy. However, alterations in upper gastrointestinal anatomy can significantly complicate endoscopic biliary intervention. The past decade has seen significant advances in the endoscopic management of patients with altered anatomy.
View Article and Find Full Text PDFA single session of EUS directed transgastric ERCP and EUS FNB in a patient with RYGB, pancreatic head tumor and biliary obstruction.
Rev Esp Enferm Dig
September 2022
Clinical Epidemiology , Fundación Santa Fe de Bogotá , Colombia .
The alteration of the gastrointestinal anatomy represents a challenge for the performance of endoscopic procedures in case of bile duct obstruction. Follow we present the technique used in a patient with altered anatomy and a mass in the head of the pancreas with obstruction of the bile duct through endoscopic ultrasound-guided trans gastric retrograde cholangiopancreatography.
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