ASGE DDW Videos from Around the World | 2026-ENDOSCOPIC SALVAGE OF TYPE III STENT MISDEPOLYMENT DURING EDGE, USING NOTES TECHNIQUE

ENDOSCOPIC SALVAGE OF TYPE III STENT MISDEPOLYMENT DURING EDGE, USING NOTES TECHNIQUE

Video Transcription

Video Summary

During an EDGE procedure in a 62-year-old woman with prior Roux-en-Y gastric bypass and a common bile duct stone, a rare type 3 lumen-apposing metal stent misdeployment occurred: the distal flange entered the excluded stomach, but the proximal flange deployed into the peritoneal cavity. Using a NOTES-based salvage technique with an ultrathin endoscope, wires were re-established, spilled gastric contents were suctioned, and a second LAMS was placed successfully to create a gastroenteric conduit. The patient recovered well, later underwent ERCP with stone removal, and had no leak or major complications.

Asset Subtitle

M. Hayat, M.K. Hasan, N.D. Cosgrove, D. Jain, K. Kadhkodayan, D. Yang, M.A. Arain

Meta Tag

Concept Lumen-Apposing Metal Stent Misdeployment

Concept Type 3 Misdeployment

Concept NOTES/NODES Technique

Concept Endoscopic Ultrasound-Directed Gastroenterostomy

Concept Excluded Stomach

Keywords

EDGE procedure

lumen-apposing metal stent

LAMS misdeployment

Roux-en-Y gastric bypass

NOTES salvage technique

Lumen-Apposing Metal Stent Misdeployment

Type 3 Misdeployment

NOTES/NODES Technique

Endoscopic Ultrasound-Directed Gastroenterostomy

Excluded Stomach