Abstract
Text 69-year-old patient with a history of right hepatectomy with hepaticojejunostomy for cholangio-carcinoma and PTD for jaundice for cancer recurrence presented at our department with vomiting and epigastric pain. Gastroscopy revealed a tight but passable stricture of the duodenal bulb, presumably due to tumorous infiltration of the surrounding tissue. Pneumatic dilation did not relieve symptoms and the patient was indicated for EUS-guided GE. Contrast visualization of the small bowel showed dislocation of the jejunal loop in the right upper abdominal quadrant, making it inaccessible for anastomosis. For this reason, LAMS has been placed between antrum and the descending part of the duodenum with both technical and clinical success. Article published online: 14 April 2023 © 2023. European Society of Gastrointestinal Endoscopy. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany