A lumen-apposing stent for diarrhea?

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F25%3A10158890" target="_blank" >RIV/00098892:_____/25:10158890 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.sciencedirect.com/science/article/pii/S001651072500032X" target="_blank" >https://www.sciencedirect.com/science/article/pii/S001651072500032X</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.gie.2025.01.008" target="_blank" >10.1016/j.gie.2025.01.008</a>

Jazyk výsledku

angličtina

Název v původním jazyce

A lumen-apposing stent for diarrhea?

Popis výsledku v původním jazyce

EUS-directed transgastric ERCP (EDGE) was first introduced in 2014 as a therapeutic option for patients with Roux-en-Y gastric bypass requiring ERCP. This procedure involves EUS-guided placement of a lumen-apposing metal stent (LAMS) to connect the gastric remnant to the gastric pouch, allowing for passage of a duodenoscope through the LAMS and performance of conventional ERCP. Since its inception, EDGE has become an internationally performed procedure, proven to be safe and efficacious. More recently, a variation of this technique has emerged: EUS-directed transgastric intervention (EDGI), in which other interventions besides ERCP are used after gastro-gastric LAMS placement. EDGI has also become a well-known, safe, and efficacious procedure with more and more new indications emerging over time. In this case, a patient who had previously undergone a Roux-en-Y gastric bypass experienced severe diarrhea, presumably from bile acid malabsorption related to his bypass, with minimal response to medical management and with significant associated morbidity. An efferent loop to gastric remnant EDGI was performed, with rapid and complete resolution of diarrhea. This case nicely illustrates the importance of thinking outside the box and of applying established procedures to novel indications in order to best help our patients.

Název v anglickém jazyce

A lumen-apposing stent for diarrhea?

Popis výsledku anglicky

EUS-directed transgastric ERCP (EDGE) was first introduced in 2014 as a therapeutic option for patients with Roux-en-Y gastric bypass requiring ERCP. This procedure involves EUS-guided placement of a lumen-apposing metal stent (LAMS) to connect the gastric remnant to the gastric pouch, allowing for passage of a duodenoscope through the LAMS and performance of conventional ERCP. Since its inception, EDGE has become an internationally performed procedure, proven to be safe and efficacious. More recently, a variation of this technique has emerged: EUS-directed transgastric intervention (EDGI), in which other interventions besides ERCP are used after gastro-gastric LAMS placement. EDGI has also become a well-known, safe, and efficacious procedure with more and more new indications emerging over time. In this case, a patient who had previously undergone a Roux-en-Y gastric bypass experienced severe diarrhea, presumably from bile acid malabsorption related to his bypass, with minimal response to medical management and with significant associated morbidity. An efferent loop to gastric remnant EDGI was performed, with rapid and complete resolution of diarrhea. This case nicely illustrates the importance of thinking outside the box and of applying established procedures to novel indications in order to best help our patients.

Druh

J_SC - Článek v periodiku v databázi SCOPUS

CEP obor

—

OECD FORD obor

30219 - Gastroenterology and hepatology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Gastrointestinal Endoscopy

ISSN

0016-5107

e-ISSN

1097-6779

Svazek periodika

101

Číslo periodika v rámci svazku

6

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

3

Strana od-do

1269-1271

Kód UT WoS článku

001502656200026

EID výsledku v databázi Scopus

2-s2.0-85217215230