Work

Permanent endoscopic reversal of Roux-en-Y gastric bypass for diagnosis and long-term palliation of pancreatic cancer

Year: 2020

Type: article

Abstract: Patients with Roux-en-Y gastric bypass (RYGB) anatomy face unique technical challenges in the management of pancreaticobiliary malignancy. ERCP is challenging in RYGB anatomy, and EUS is often technically impossible.1,2 Recently, temporary endoscopic reversal of RYGB anatomy has been reported, with EUS-guided deployment of an electrocautery-enhanced lumen-apposing metal stent (LAMS; AXIOS, Boston Scientific, Marlborough, Mass, USA) into the remnant stomach, thus gaining temporary access into the bypassed foregut and facilitating standard EUS/ERCP.

Source: VideoGIE

DOI: 10.1016/j.vgie.2020.04.017

Authors: Seifeldin Hakim, Donald R. Campbell, Emmanuel Coronel, Manoop S. Bhutani, Naruhiko Ikoma, Phillip S. Ge

Institution: The University of Texas MD Anderson Cancer Center

Language: English

Topic: Gallbladder and Bile Duct Disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,200