EUS-guided drainage of a pseudocyst via a gastric pouch utilizing a lumen-apposing metal stent скачать в хорошем качестве

EUS-guided drainage of a pseudocyst via a gastric pouch utilizing a lumen-apposing metal stent

Reference: https://www.videogie.org/article/S246... EUS-guided drainage of a pseudocyst through a gastric pouch utilizing a lumen-apposing metal stent presents a unique approach in managing complications associated with Roux-en-Y anatomy. This technique is particularly beneficial for patients who have undergone Roux-en-Y gastric bypass surgery, as the altered gastrointestinal tract can complicate traditional drainage methods. The endoscopic ultrasound (EUS) guidance allows for precise localization of the pseudocyst, ensuring that the intervention is both effective and minimally invasive. By employing a lumen-apposing metal stent, clinicians can create a stable and secure connection between the pseudocyst and the gastric pouch, facilitating the drainage of fluid while minimizing the risk of leakage or infection. The procedure begins with a thorough assessment of the patient's anatomy through EUS, which provides real-time imaging of the pseudocyst and surrounding structures. Once the target area is identified, the endoscopist carefully navigates the lumen-apposing metal stent into position. This stent is designed to anchor securely within the gastric pouch and the pseudocyst, allowing for continuous drainage of the cystic fluid. The use of a metal stent, as opposed to traditional plastic stents, offers enhanced durability and reduces the likelihood of stent occlusion, which is a common complication in such procedures. This innovative approach not only improves patient outcomes but also enhances the overall safety profile of the intervention. Post-procedure management is crucial to ensure the success of the drainage and to monitor for any potential complications. Patients typically undergo follow-up imaging to assess the resolution of the pseudocyst and to confirm the proper functioning of the stent. Additionally, clinicians must remain vigilant for signs of infection or stent migration, which can occur in the context of altered anatomy. Overall, EUS-guided pseudocyst drainage using a lumen-apposing metal stent in patients with Roux-en-Y anatomy represents a significant advancement in the field of gastroenterology, offering a tailored solution to a complex clinical challenge.