EUS-DRAINAGE OF GASTRIC INTRAMURAL ABSCESSES USING LUMEN-APPOSING METAL STENTS

DRAINAGE OF GASTRIC INTRAMURAL ABSCESSES USING LUMEN-APPOSING METAL STENTS

Video Transcription

Video Summary

In this video, the authors present a case of an 83-year-old male with gastric intramural abscesses. The patient had previously undergone chemotherapy for prostate cancer and presented with symptoms of nausea, vomiting, anorexia, and abdominal pain. Endoscopic methods including endoscopic ultrasound, fluoroscopy, standard upper endoscopy, and electrocautery enhanced lumen opposing metal stent placement were used to drain the abscesses. Cultures returned positive for Candida cruciate and Enterococcus faecalis. Despite initial drainage and antibiotic treatment, a repeat CT scan showed a persistent abscess, leading to a second placement of the lumen opposing metal stent. Pathology revealed the presence of a foreign body as the suspected cause of the abscesses. The patient improved after the second intervention and was discharged. The authors conclude that lumen-opposing metal stents are a safe and effective option for drainage of gastric intramural abscesses.

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Honorable Mention

Keywords

gastric intramural abscesses

chemotherapy

endoscopic methods

lumen opposing metal stent

foreign body