ASGE DDW Videos from Around the World | 2025-A NOVEL LUMEN APPOSING METAL STENT FIXATION TECHNIQUE USING A TACK DEVICE

A NOVEL LUMEN APPOSING METAL STENT FIXATION TECHNIQUE USING A TACK DEVICE

Video Transcription

Video Summary

This video presents a novel technique for fixing metal stents using a tagged device in a 31-year-old woman with post-operative stenosis after a Roux-en-Y gastric bypass. The patient showed intolerance to oral intake due to a gastrojejunal anastomosis obstruction. A new endoscopic technique utilizing three tacks effectively secured a Loom in Opposing Metal Stent, ensuring its position and maintaining passage through the anastomosis. The patient's symptoms improved post-procedure, and a 3-month follow-up confirmed stent retention. This technique is deemed safe and potentially beneficial in therapeutic endoscopy and ultrasound applications.

Asset Subtitle

Yara Salameh

Meta Tag

Concept Gastrojejunal Anastomosis

Concept Anastomotic Stenosis

Concept Lumen-Apposing Metal Stent

Concept Roux-en-Y Gastric Bypass

Concept Benign Anastomotic Stricture

Keywords

metal stents

endoscopic technique

gastrojejunal anastomosis

therapeutic endoscopy

ultrasound applications

Gastrojejunal Anastomosis

Anastomotic Stenosis

Lumen-Apposing Metal Stent

Roux-en-Y Gastric Bypass

Benign Anastomotic Stricture