Volume 4, Issue 7, Pages (July 2019)

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Presentation transcript:

Volume 4, Issue 7, Pages 328-330 (July 2019) Lumen-apposing metal stent for the management of intramural hematoma of the GI tract  Nader Bakheet, MD, Alexandra T. Strauss, MD, Yervant Ichkhanian, MD, Thomas M. Runge, MD, Mouen A. Khashab, MD  VideoGIE  Volume 4, Issue 7, Pages 328-330 (July 2019) DOI: 10.1016/j.vgie.2019.04.011 Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, Endoscopic view of hematoma. B, Endosonographic view of hematoma. VideoGIE 2019 4, 328-330DOI: (10.1016/j.vgie.2019.04.011) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Endosonographic view of second lumen-apposing metal stent during deployment of the distal flange. VideoGIE 2019 4, 328-330DOI: (10.1016/j.vgie.2019.04.011) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Endoscopic view of the proximal and distal lumen-apposing metal stents and double-pigtail stent seen passing into hematoma. VideoGIE 2019 4, 328-330DOI: (10.1016/j.vgie.2019.04.011) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Coronal CT image of abdomen and pelvis showing intramural hematoma occupying entire length of the duodenum (arrows). VideoGIE 2019 4, 328-330DOI: (10.1016/j.vgie.2019.04.011) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Endoscopic view of intramural duodenal hematoma. VideoGIE 2019 4, 328-330DOI: (10.1016/j.vgie.2019.04.011) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Fluoroscopic image during infusion of contrast material with distention of small bowel, distal to obstruction. VideoGIE 2019 4, 328-330DOI: (10.1016/j.vgie.2019.04.011) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 7 A, Endoscopic view of the lumen-apposing metal stent (LAMS) seen from the gastric side. B, Endoscopic view of the LAMS seen from the intestinal side; stomach can be seen through lumen of LAMS. VideoGIE 2019 4, 328-330DOI: (10.1016/j.vgie.2019.04.011) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions