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LAMS use in malignant stricture of duodenal apex with synchronous malignant biliary obstruction: a potentially effective and simpler endoscopic approach

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Abstract

We report the first case of lumen apposing metal stent (LAMS) use in malignant stricture of the duodenal apex to treat gastric outlet obstruction (GOO) and to facilitate endoscopic retrograde management of synchronous malignant biliary obstruction due to pancreatic head adenocarcinoma. This technique may be an effective alternative and a simpler approach than current methodology to this endoscopically challenging condition.

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Abbreviations

LAMS:

Lumen-apposing metal stent

GOO:

Gastric outlet obstruction

EUS:

Endoscopic Ultrasound

ERCP:

Endoscopic retrograde cholangio-pancreatography

SEMS:

Self-expanding metal stent

EUS-GE:

EUS-guided gastroenterostomy

CDS:

Choledochoduodenostomy stent

HGS:

Hepaticogastrostomy stent

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Acknowledgements

The authors thank the dedicated work of our endoscopy and anesthesiology staff involved in this case: Lisa Baley, LPN, Gabrielle Taylor, RN, and James D’Amato, M.D.

This material is the result of work supported with resources and the use of facilities at the West Palm Beach VA Health Care System, Florida.

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Authors and Affiliations

  1. EUS and Advanced Endoscopy, Gastroenterology, Department of Veterans Affairs, Health Care System, West Palm Beach, FL, USA

    Hugh D. Mai

  2. Gastroenterology, Department of Veteran Affairs, Health Care System, West Palm Beach, FL, USA

    Linoj Panicker

  3. General Surgery, Department of Veteran Affairs, Health Care System, West Palm Beach, FL, USA

    James J. Stone

  4. Gastroenterology Fellow, Department of Veterans Affairs, Health Care System, West Palm Beach, FL, USA

    Mihir N. Brahmbhatt

Authors
  1. Hugh D. Mai
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  2. Linoj Panicker
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  3. James J. Stone
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  4. Mihir N. Brahmbhatt
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Correspondence to Hugh D. Mai.

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All authors declared no financial relationships and no conflict of interest relevant to this publication.

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Mai, H.D., Panicker, L., Stone, J.J. et al. LAMS use in malignant stricture of duodenal apex with synchronous malignant biliary obstruction: a potentially effective and simpler endoscopic approach. Clin J Gastroenterol 17, 52–56 (2024). https://doi.org/10.1007/s12328-023-01885-9

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  • DOI: https://doi.org/10.1007/s12328-023-01885-9

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