Volume 2, Issue 10, Pages (October 2017)

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Presentation transcript:

Volume 2, Issue 10, Pages 276-278 (October 2017) Endoscopic jejunojejunostomy by use of a lumen-apposing self-expandable metal stent for treatment of obstructed efferent loop after subtotal gastrectomy with Roux-en-Y- reconstruction Armin Küllmer, MD, Andreas Wannhoff, MD, Arthur Schmidt, MD, Karel Caca, MD VideoGIE Volume 2, Issue 10, Pages 276-278 (October 2017) DOI: 10.1016/j.vgie.2017.06.014 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Food retention in remaining part of the stomach. VideoGIE 2017 2, 276-278DOI: (10.1016/j.vgie.2017.06.014) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Kinked efferent loop (guidewire inserted) and blind loop at site of gastrojejunostomy. VideoGIE 2017 2, 276-278DOI: (10.1016/j.vgie.2017.06.014) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Filled dilation balloon in efferent loop; EUS view of blind loop. VideoGIE 2017 2, 276-278DOI: (10.1016/j.vgie.2017.06.014) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Puncturing procedure. VideoGIE 2017 2, 276-278DOI: (10.1016/j.vgie.2017.06.014) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Deployment of lumen-apposing stent. VideoGIE 2017 2, 276-278DOI: (10.1016/j.vgie.2017.06.014) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Dilation. VideoGIE 2017 2, 276-278DOI: (10.1016/j.vgie.2017.06.014) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 7 Anastomosis. VideoGIE 2017 2, 276-278DOI: (10.1016/j.vgie.2017.06.014) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 8 Anastomosis from site of gastrojejunostomy. VideoGIE 2017 2, 276-278DOI: (10.1016/j.vgie.2017.06.014) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 9 Passage of contrast dye through stent without filling of the blind loop. VideoGIE 2017 2, 276-278DOI: (10.1016/j.vgie.2017.06.014) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions