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Creation of a gastrogastric conduit by use of a lumen-apposing metal stent in a patient who had extensive small-bowel surgery secondary to a Peterson.

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Presentation on theme: "Creation of a gastrogastric conduit by use of a lumen-apposing metal stent in a patient who had extensive small-bowel surgery secondary to a Peterson."— Presentation transcript:

1 Creation of a gastrogastric conduit by use of a lumen-apposing metal stent in a patient who had extensive small-bowel surgery secondary to a Peterson hernia  Emily Tucker, MBBS, MRCP, MD, Simon Travis, MBChB, FRCR, Yutaro Higashi, MBBS, MRCS, FRCR, Tim Bowling, MBBS, MD, FRCP, Suresh Venkatachalapathy, MBBS, MRCP  VideoGIE  DOI: /j.vgie Copyright © Terms and Conditions

2 Figure 1 Placement of the EUS in the proximal gastric stump with radiologically placed guidewire through jejunostomy. VideoGIE DOI: ( /j.vgie ) Copyright © Terms and Conditions

3 Figure 2 Introduction of 19-gauge FNA needle into the distal part of the stomach and threading of guidewire through the needle. VideoGIE DOI: ( /j.vgie ) Copyright © Terms and Conditions

4 Figure 3 Insertion of gooseneck snare through the destination sheath and grasping of guidewire. VideoGIE DOI: ( /j.vgie ) Copyright © Terms and Conditions

5 Figure 4 Guidewire brought out through the jejunostomy and fixed at the skin; stent deployed over the guidewire; injection of contrast material to ensure stent patency. VideoGIE DOI: ( /j.vgie ) Copyright © Terms and Conditions

6 Figure 5 Follow-up gastroscopic view after 6 weeks showing stent in position and patent. VideoGIE DOI: ( /j.vgie ) Copyright © Terms and Conditions

7 Figure 6 Anatomy and position of lumen-apposing metal stent.
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