Fixation of Proximal flange of Lumen Apposing Metal Stent using Through-the-Scope Endoscopic Suturing System to Prevent Stent Migration in Single-Session EUS-directed Transgastric ERCP : A Pilot Study
Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved..
BACKGROUND AND AIMS: With the global obesity pandemic, clinical scenarios requiring urgent ERCP in patients with gastric bypass surgery are on the rise and Single-Session Endoscopic Ultrasound-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography (SS-EDGE) can effectively address these technical challenges. The aim of this study was to evaluate and describe safe and effective use of through-the-scope endoscopic suturing system for anchoring the lumen apposing metal stents (LAMS) during SS-EDGE.
METHODS: Six patients with Roux-en-Y gastric bypass (RYGB) underwent SS-EDGE at our center. Through-the-scope endoscopic suturing system was used for anchoring the lumen apposing metal stents (LAMS) during SS-EDGE.
RESULTS: Clinical and technical success was achieved in all six patients without any adverse events related to the procedure. No stent migration, pneumoperitoneum or gastrointestinal perforation noted. Upon 4 weeks follow-up, no stent migration was noted with Through-the-scope suturing system remained anchored. LAMS along with tacks were removed and gastric fistulae were successfully closed endoscopically in all patients to prevent weight gain.
CONCLUSION: Use of through-the-scope endoscopic suturing can be a safe, reliable, and potentially cost-effective novel technique for LAMS fixation to successfully perform SS-EDGE in RYGB patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Gastrointestinal endoscopy - (2024) vom: 19. Feb. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Khan, Hafiz Muzaffar Akbar [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Revised 21.02.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1016/j.gie.2024.02.013 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM368728943 |
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| 100 | 1 | |a Khan, Hafiz Muzaffar Akbar |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Fixation of Proximal flange of Lumen Apposing Metal Stent using Through-the-Scope Endoscopic Suturing System to Prevent Stent Migration in Single-Session EUS-directed Transgastric ERCP |b A Pilot Study |
| 264 | 1 | |c 2024 | |
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| 500 | |a Date Revised 21.02.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND AND AIMS: With the global obesity pandemic, clinical scenarios requiring urgent ERCP in patients with gastric bypass surgery are on the rise and Single-Session Endoscopic Ultrasound-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography (SS-EDGE) can effectively address these technical challenges. The aim of this study was to evaluate and describe safe and effective use of through-the-scope endoscopic suturing system for anchoring the lumen apposing metal stents (LAMS) during SS-EDGE | ||
| 520 | |a METHODS: Six patients with Roux-en-Y gastric bypass (RYGB) underwent SS-EDGE at our center. Through-the-scope endoscopic suturing system was used for anchoring the lumen apposing metal stents (LAMS) during SS-EDGE | ||
| 520 | |a RESULTS: Clinical and technical success was achieved in all six patients without any adverse events related to the procedure. No stent migration, pneumoperitoneum or gastrointestinal perforation noted. Upon 4 weeks follow-up, no stent migration was noted with Through-the-scope suturing system remained anchored. LAMS along with tacks were removed and gastric fistulae were successfully closed endoscopically in all patients to prevent weight gain | ||
| 520 | |a CONCLUSION: Use of through-the-scope endoscopic suturing can be a safe, reliable, and potentially cost-effective novel technique for LAMS fixation to successfully perform SS-EDGE in RYGB patients | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Roux-en-Y gastric bypass (RYGB) | |
| 650 | 4 | |a Through-the-scope endoscopic suturing system | |
| 650 | 4 | |a single-session EUS-directed transgastric ERCP (EDGE) | |
| 700 | 1 | |a Hussain, Azhar |e verfasserin |4 aut | |
| 700 | 1 | |a Kumar, Vishnu Charan Suresh |e verfasserin |4 aut | |
| 700 | 1 | |a Yang, Dennis |e verfasserin |4 aut | |
| 700 | 1 | |a Hasan, Muhammad Khalid |e verfasserin |4 aut | |
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| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.gie.2024.02.013 |3 Volltext |
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