A Tale of Two LAMS: a Report of Benign Tissue Ingrowth Resulting in Recurrent Gastric Outlet Obstruction

Overview

Journal Endosc Int Open

Specialty Gastroenterology

Date 2018 Dec 4

PMID 30505930

Citations 4

Authors

Parth J Parekh

Mohammad H Shakhatreh

Paul Yeaton

Affiliations

Soon will be listed here.

Abstract

Endoscopic ultrasound (EUS)-guided gastroenterostomy is a novel, off-label, procedure that has been facilitated by availability of a novel lumen apposing metal stent (LAMS) (Axios, Boston Scientific, Marlbourough Massachusetts, United States). The literature suggests its efficacy to be comparable to surgical gastrojejunostomy. In theory, this procedure overcomes the issues associated with woven enteral stents, which are subject to continuous, straightening, axial forces. We report the adverse event of tissue ingrowth in an Axios stent placed as an EUS-guided gastroduodenostomy, resulting in recurrence of gastric outlet obstruction, treated by a stent-inside-stent technique.

Citing Articles

Safe removal of lumen-apposing metal stent using argon plasma coagulation after EUS-guided cyst gastrostomy (with video).

Miwa H, Sugimori K, Tsuchiya H, Nishimura M, Tozuka Y, Kaneko T Endosc Ultrasound. 2021; 10(4):309-310.

PMID: 33586692 PMC: 8411564. DOI: 10.4103/EUS-D-20-00211.

Early Lumen-Apposing Metal Stent Dysfunction Complicating Endoscopic Ultrasound-Guided Gastroenterostomy: A Report of Two Cases.

Kastelijn J, Van der Voort V, Bijlsma A, Moons L, Schwartz M, Vleggaar F Clin Endosc. 2021; 54(4):603-607.

PMID: 33434963 PMC: 8357596. DOI: 10.5946/ce.2020.201.

Patency of endoscopic ultrasound-guided gastroenterostomy in the treatment of malignant gastric outlet obstruction.

Kastelijn J, Moons L, Garcia-Alonso F, Perez-Miranda M, Masaryk V, Will U Endosc Int Open. 2020; 8(9):E1194-E1201.

PMID: 32904815 PMC: 7458745. DOI: 10.1055/a-1214-5659.

Endoscopic Ultrasound-guided Gastroenterostomy: A Promising Alternative to Surgery.

Wang G, Liu X, Wang S, Ge N, Guo J, Sun S J Transl Int Med. 2019; 7(3):93-99.

PMID: 31637179 PMC: 6795053. DOI: 10.2478/jtim-2019-0021.

References

Irani S, Baron T, Itoi T, Khashab M . Endoscopic gastroenterostomy: techniques and review. Curr Opin Gastroenterol. 2017; 33(5):320-329. DOI: 10.1097/MOG.0000000000000389. View

Jeurnink S, Steyerberg E, van Hooft J, van Eijck C, Schwartz M, Vleggaar F . Surgical gastrojejunostomy or endoscopic stent placement for the palliation of malignant gastric outlet obstruction (SUSTENT study): a multicenter randomized trial. Gastrointest Endosc. 2009; 71(3):490-9. DOI: 10.1016/j.gie.2009.09.042. View

Isayama H, Nakai Y, Toyokawa Y, Togawa O, Gon C, Ito Y . Measurement of radial and axial forces of biliary self-expandable metallic stents. Gastrointest Endosc. 2009; 70(1):37-44. DOI: 10.1016/j.gie.2008.09.032. View

Adler D, Baron T . Endoscopic palliation of malignant gastric outlet obstruction using self-expanding metal stents: experience in 36 patients. Am J Gastroenterol. 2002; 97(1):72-8. DOI: 10.1111/j.1572-0241.2002.05423.x. View

Khashab M, Baron T, Binmoeller K, Itoi T . EUS-guided gastroenterostomy: a new promising technique in evolution. Gastrointest Endosc. 2015; 81(5):1234-6. DOI: 10.1016/j.gie.2014.12.053. View