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The alternative becomes the solution
Pedro Antunes, Sofia Mendes, Tiago Leal, Bruno Gonçalves
Serviço de Gastrenterologia do Hospital de Braga
A 79-year-old man with a metastasized poorly cohesive gastric carcinoma of the antrum presented with symptomatic gastric outlet obstruction. Firstly, a transpyloric self-expanding metal stent was placed with clinical improvement. After 4 weeks, the symptoms recurred due to stent’s occlusion. Considering patient's good general condition and risk of short-term re-occlusion, an endoscopic ultrasound-guided gastroenterostomy was performed using a 15x10mm lumen-apposing metal stent. Eight weeks after the procedure, the patient remained asymptomatic with no food restrictions.
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