Endoscopic Placement of a Lumen-Apposing Metal Stent for a Persistent Gastrojejunal Anastomotic Stricture after Roux-en-Y Gastric Bypass
Author(s) -
Donevan Westerveld
Publication year - 2016
Publication title -
journal of gastroenterology and hepatobiliary disorders
Language(s) - English
Resource type - Journals
ISSN - 2470-9891
DOI - 10.19104/jghd.2016.107
Subject(s) - anastomosis , gastric bypass , roux en y anastomosis , lumen (anatomy) , medicine , stent , surgery , weight loss , obesity
Gastrojejunal anastomotic stricture formation is a common late adverse event following Roux-en-Y gastric bypass (RYGB) [1]. Endoscopic treatment traditionally involves serial dilations. Enteral stenting has been investigated in refractory cases but its applicability has been limited by the risk of stent migration [2,3]. We present the case of a refractory gastrojejunal anastomotic stricture treated effectively with a lumen-apposing metal stent (LAMS) (Axios, Boston Scientific, Marlborough, MA).
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