Sequential lumen-apposing metal stent and septotomy technique for endoscopic anastomosis creation and revision in patients with previous upper gastrointestinal surgery - 26/02/26
, Sara R. Zelman, MD 2, Nicholas S. Hannon, MD 3, Jeffrey M. Adler, MD 4, 5, Thadeus L. Trus, MD 5, 6Abstract |
Background and Aims |
We present an endoscopic technique for the creation or revision of upper GI anastomoses using endoscopic ultrasound guidance, sequential deployment of lumen-apposing metal stents, and septotomy after tract maturation. We also present our case series of 4 patients in whom we have successfully used this technique for both reversal of postbariatric surgical anatomy and management of anastomotic strictures.
Methods |
Three patients with previous bariatric surgery underwent reversal of their gastric anatomy with endoscopic anastomosis creation, and 1 patient with a duodenal anastomotic stricture underwent anastomotic revision using our sequential lumen-apposing metal stent and septotomy technique.
Results |
There were no immediate procedure-related adverse events in any of the cases. All procedures achieved technical and at least partial clinical success.
Conclusions |
Our technique is safe, effective, and feasible for durable endoscopic anastomosis creation or revision in appropriately selected patients with prior upper GI surgery.
Le texte complet de cet article est disponible en PDF.Graphical abstract |
Abbreviations : LAMS, PO, RYGB, UGI, VBG
Plan
Vol 103 - N° 3
P. 573-578 - mars 2026 Retour au numéro
Article précédent
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