Table 1 Characteristics of patients undergoing EUS-guided anastomosis without involvement of the gastric wall.

From: Feasibility and patency of echoendoscopic anastomoses with lumen apposing metal stents depending on the gastrointestinal segment involved

 

Age (ys)

Sex

Site of obstruction

Site of LAMS placement

Surgically altered anatomy

Technical success

Adverse events

Case 1*

65

Female

Colo-rectal anastomosis

Colo-rectal

Yes

Rectal stump. Diverting ileostomy

Yes

No

Case 2*

57

Male

Jejunum

Jejunal-jejunal

Yes

Surgical gastroenteroanastomosis

Yes

Displacement (at 3 mo)

Case 3

35

Female

Jejunum ALS1

Jejunal-jejunal

Yes

Gastrectomy2, Roux-en-Y hepático-jejunostomy

Yes

No

Case 4

61

Male

Ileum (pelvic tumoral implant)

Ileo-sigmoid

No

No3

Target loop perforation (resolved with endoscopic clips)

Case 5

58

Female

Ileum

Ileo-ileal

Yes

ARR4

Yes

Leakage at the LAMS site (surgery not required)

Case 6

57

Male

Pelvic ileum

Ileo-colonic

Yes

ARR4 + diverting ileostomy

No

Perforation (resolved surgically)

  1. 1. Afferent loop syndrome.
  2. 2. Patient with diffuse gastric cancer.
  3. 3. The goal was to create an ileo-sigmoidostomy. Although the LAMS was released without incident, the punctured target loop turned out to be the jejunum instead of the ileum. Therefore, a jejuno-sigmoidostomy was created.
  4. 4. ARR Anterior resection of the rectum.
  5. *These are the two patients described in the text, in which the long-term permeability of the anastomosis was confirmed once the LAMS was removed.
Back to article page