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Published in: Clinical Journal of Gastroenterology 1/2024

19-11-2023 | Gastroenterostomy | Case Report

LAMS use in malignant stricture of duodenal apex with synchronous malignant biliary obstruction: a potentially effective and simpler endoscopic approach

Authors: Hugh D. Mai, Linoj Panicker, James J. Stone, Mihir N. Brahmbhatt

Published in: Clinical Journal of Gastroenterology | Issue 1/2024

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Abstract

We report the first case of lumen apposing metal stent (LAMS) use in malignant stricture of the duodenal apex to treat gastric outlet obstruction (GOO) and to facilitate endoscopic retrograde management of synchronous malignant biliary obstruction due to pancreatic head adenocarcinoma. This technique may be an effective alternative and a simpler approach than current methodology to this endoscopically challenging condition.
Literature
1.
go back to reference Kaw M, Singh S, Gagneja H. Clinical outcome of simultaneous self-expandable metal stents for palliation of malignant biliary and duodenal obstruction. Surg Endosc. 2003;17(3):457–61.CrossRefPubMed Kaw M, Singh S, Gagneja H. Clinical outcome of simultaneous self-expandable metal stents for palliation of malignant biliary and duodenal obstruction. Surg Endosc. 2003;17(3):457–61.CrossRefPubMed
2.
go back to reference Mutignani M, Tringali A, Shah SG, et al. Combined endoscopic stent insertion in malignant biliary and duodenal obstruction. Endoscopy. 2007;39(5):440–7.CrossRefPubMed Mutignani M, Tringali A, Shah SG, et al. Combined endoscopic stent insertion in malignant biliary and duodenal obstruction. Endoscopy. 2007;39(5):440–7.CrossRefPubMed
3.
go back to reference Mangiavillano B, Khashab MA, Tarantino I, et al. Success and safety of endoscopic treatments for concomitant biliary and duodenal malignant stenosis: a review of the literature. World J Gastrointest Surg. 2019;11(2):53–61.CrossRefPubMedPubMedCentral Mangiavillano B, Khashab MA, Tarantino I, et al. Success and safety of endoscopic treatments for concomitant biliary and duodenal malignant stenosis: a review of the literature. World J Gastrointest Surg. 2019;11(2):53–61.CrossRefPubMedPubMedCentral
5.
go back to reference Belletrutti PJ, Gerdes H, Schattner MA. Successful endoscopic ultrasound-guided transduodenal biliary drainage through a pre-existing duodenal stent. JOP. 2010;11(3):234–6.PubMed Belletrutti PJ, Gerdes H, Schattner MA. Successful endoscopic ultrasound-guided transduodenal biliary drainage through a pre-existing duodenal stent. JOP. 2010;11(3):234–6.PubMed
6.
go back to reference Due-Petersson R, Hansen LB. Lumen-apposing metal stent for treatment of malignant biliary obstruction, placed through an uncovered duodenal self-expanding metal stent. BMJ Case Rep. 2021;14(4):e238599.CrossRefPubMedPubMedCentral Due-Petersson R, Hansen LB. Lumen-apposing metal stent for treatment of malignant biliary obstruction, placed through an uncovered duodenal self-expanding metal stent. BMJ Case Rep. 2021;14(4):e238599.CrossRefPubMedPubMedCentral
7.
go back to reference Canakis A, Hathorn KE, Irani SS, et al. Single session endoscopic ultrasound-guided double bypass (hepaticogastrostomy and gastrojejunostomy) for concomitant duodenal and biliary obstruction: A case series. J Hepatobiliary Pancreat Sci. 2022;29(8):941–9.CrossRefPubMed Canakis A, Hathorn KE, Irani SS, et al. Single session endoscopic ultrasound-guided double bypass (hepaticogastrostomy and gastrojejunostomy) for concomitant duodenal and biliary obstruction: A case series. J Hepatobiliary Pancreat Sci. 2022;29(8):941–9.CrossRefPubMed
8.
go back to reference van Wanrooij RLJ, Vanella G, Bronswijk M, et al. Endoscopic ultrasound-guided gastroenterostomy versus duodenal stenting for malignant gastric outlet obstruction: an international, multicenter, propensity score-matched comparison. Endoscopy. 2022;54(11):1023–31.CrossRefPubMed van Wanrooij RLJ, Vanella G, Bronswijk M, et al. Endoscopic ultrasound-guided gastroenterostomy versus duodenal stenting for malignant gastric outlet obstruction: an international, multicenter, propensity score-matched comparison. Endoscopy. 2022;54(11):1023–31.CrossRefPubMed
9.
go back to reference Itoi T, Ishii K, Ikeuchi N, et al. Prospective evaluation of endoscopic ultrasonography-guided double-balloon-occluded gastrojejunostomy bypass (EPASS) for malignant gastric outlet obstruction. Gut. 2016;65:193–5.CrossRefPubMed Itoi T, Ishii K, Ikeuchi N, et al. Prospective evaluation of endoscopic ultrasonography-guided double-balloon-occluded gastrojejunostomy bypass (EPASS) for malignant gastric outlet obstruction. Gut. 2016;65:193–5.CrossRefPubMed
10.
go back to reference Goutorbe F, Rouquette O, Mulliez A, et al. Temporary placement of a covered duodenal stent can avoid riskier anterograde biliary drainage when ERCP for obstructive jaundice fails due to duodenal invasion. Surg Endosc. 2017;31(2):625–31.CrossRefPubMed Goutorbe F, Rouquette O, Mulliez A, et al. Temporary placement of a covered duodenal stent can avoid riskier anterograde biliary drainage when ERCP for obstructive jaundice fails due to duodenal invasion. Surg Endosc. 2017;31(2):625–31.CrossRefPubMed
11.
go back to reference Vanella G, Bronswijk M, van Wanrooij RL, et al. Combined endoscopic management of biliary and gastric outlet obstruction (CABRIOLET Study): a multicenter retrospective analysis. DEN Open. 2022;3(1):e132.CrossRefPubMedPubMedCentral Vanella G, Bronswijk M, van Wanrooij RL, et al. Combined endoscopic management of biliary and gastric outlet obstruction (CABRIOLET Study): a multicenter retrospective analysis. DEN Open. 2022;3(1):e132.CrossRefPubMedPubMedCentral
12.
go back to reference Mizrahi M, Fahmawi Y, Merritt L, et al. Luminal-apposing stents for benign intraluminal strictures: a large United States multicenter study of clinical outcomes. Ann Gastroenterol. 2021;34(1):33–8.PubMed Mizrahi M, Fahmawi Y, Merritt L, et al. Luminal-apposing stents for benign intraluminal strictures: a large United States multicenter study of clinical outcomes. Ann Gastroenterol. 2021;34(1):33–8.PubMed
Metadata
Title
LAMS use in malignant stricture of duodenal apex with synchronous malignant biliary obstruction: a potentially effective and simpler endoscopic approach
Authors
Hugh D. Mai
Linoj Panicker
James J. Stone
Mihir N. Brahmbhatt
Publication date
19-11-2023
Publisher
Springer Nature Singapore
Published in
Clinical Journal of Gastroenterology / Issue 1/2024
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-023-01885-9

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