ASGE DDW Videos from Around the World | 2025-RESCUE OF MIGRATED ENDOSCOPIC ULTRASOUND GUIDED GASTROJEJUNOSTOMY LUMEN APPOSING METAL STENT USING THE THROUGH SCOPE SUTURING SYSTEM

RESCUE OF MIGRATED ENDOSCOPIC ULTRASOUND GUIDED GASTROJEJUNOSTOMY LUMEN APPOSING METAL STENT USING THE THROUGH SCOPE SUTURING SYSTEM

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Video Transcription

Video Summary

A 69-year-old female with a pancreatic head mass and gastric outlet obstruction underwent a complex endoscopic procedure after being deemed ineligible for surgery. Initial attempts to internalize a percutaneous stent failed. Using a novel endoscopic method, a mis-deployed stent was salvaged by employing an X-TAC suturing system to fixate the gastric and jejunal walls, allowing for placement of a new lumen-opposing metal stent. This technique prevents surgical intervention and positions maintenance by using through-the-scope suturing instead of traditional methods, showcasing a new salvage approach for these types of stent mis-deployment issues.

Asset Subtitle

Enad Dawod

Keywords

pancreatic head mass

endoscopic procedure

X-TAC suturing system

lumen-opposing metal stent

stent mis-deployment