ASGE DDW Videos from Around the World | 2026-DURABLE GASTRO-JEJUNAL ANASTAMOSIS USING PARALLEL LUMEN APPOSING METAL STENTS AND SEPTOTOMY. A CASE SERIES

DURABLE GASTRO-JEJUNAL ANASTAMOSIS USING PARALLEL LUMEN APPOSING METAL STENTS AND SEPTOTOMY. A CASE SERIES

Video Transcription

Video Summary

This first-in-human multicenter case series evaluated a novel endoscopic method for treating gastric outlet obstruction by creating a durable gastrojejunal anastomosis. The technique uses two lumen-opposing metal stents placed about 2 cm apart to form parallel fistulas, followed later by septotomy or spontaneous septal necrosis to merge them into one wide channel. Six patients were treated; all had technical and clinical success, with no major adverse events or repeat interventions over a median 22-week follow-up. The approach may offer a lasting, stent-free alternative to surgical gastrojejunostomy, especially for benign disease.

Asset Subtitle

Video Plenary II
Submitted by Kambiz Kadkhodayan

Meta Tag

Concept Gastric Outlet Obstruction

Concept Gastrojejunal Anastomosis

Concept Endoscopic Gastroenterostomy

Concept Lumen-Opposing Metal Stent

Concept Septotomy

Keywords

gastric outlet obstruction

gastrojejunal anastomosis

endoscopic stent technique

lumen-opposing metal stents

septotomy

Gastric Outlet Obstruction

Gastrojejunal Anastomosis

Endoscopic Gastroenterostomy

Lumen-Opposing Metal Stent

Septotomy