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EDGE procedure: esophageal stent to the rescue (2.º Classificado - Vídeo)
Joel Ferreira-Silva, Filipe Vilas-Boas, Eduardo Rodrigues-Pinto, Pedro Pereira, Guilherme Macedo
Centro Hospitalar Universitário de São João
A 39-years-old woman with history of Roux-en-Y gastric bypass was referred to us due to new onset jaundice caused by a pancreatic head adenocarcinoma. Endoscopic ultrasound directed transGastric ERCP (EDGE) was pursued. A 20mm lumen-apposing metal stent (LAMS) was placed between gastric pouch and gastric remnant. Endoscopic retrograde cholangiopancreatography was performed 1 week later. However, LAMS position did not allow duodenoscope passage. A 23x125mm fully-covered metal stent was deployed in a trans-LAMS position, modifying LAMS positioning and allowing passage into gastric remnant. Subsequent biliary cannulation allowed biliary metal stent deployment. Esophageal stent was then removed and LAMS remained in situ.
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