CC BY-NC-ND 4.0 · Endosc Int Open 2018; 06(12): E1390-E1394
DOI: 10.1055/a-0658-1211
Case report
Owner and Copyright © Georg Thieme Verlag KG 2018

A tale of two LAMS: a report of benign tissue ingrowth resulting in recurrent gastric outlet obstruction

Parth J. Parekh
Department of Internal Medicine, Division of Gastroenterology, Carilion Clinic, Roanoke, Virginia, United States
,
Mohammad H. Shakhatreh
Department of Internal Medicine, Division of Gastroenterology, Carilion Clinic, Roanoke, Virginia, United States
,
Paul Yeaton
Department of Internal Medicine, Division of Gastroenterology, Carilion Clinic, Roanoke, Virginia, United States
› Author Affiliations
Further Information

Publication History

submitted 05 January 2018

accepted after revision 25 June 2018

Publication Date:
21 November 2018 (online)

  

Abstract

Background and study aims Endoscopic ultrasound (EUS)-guided gastroenterostomy is a novel, off-label, procedure that has been facilitated by availability of a novel lumen apposing metal stent (LAMS) (Axios, Boston Scientific, Marlbourough Massachusetts, United States). The literature suggests its efficacy to be comparable to surgical gastrojejunostomy. In theory, this procedure overcomes the issues associated with woven enteral stents, which are subject to continuous, straightening, axial forces. We report the adverse event of tissue ingrowth in an Axios stent placed as an EUS-guided gastroduodenostomy, resulting in recurrence of gastric outlet obstruction, treated by a stent-inside-stent technique.