ArticleVideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy2025
EUS-assisted gastric outlet remodeling in a patient with refractory gastrojejunal anastamotic stricture.
Article in VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Endoscopic ultrasound-assisted double-lumen-apposing metal stent septotomy for permanent partial reversal of Roux-en-Y gastric bypass.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026Article
- Durable endoscopic gastrojejunal anastomosis using the double-lumen apposing metal stent septotomy technique: Feasibility study.Endoscopy international open · 2026Article
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Authors and funding
6 authors.
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Abstract
Background and Aims: Gastrojejunal (GJ) anastomotic strictures occur in up to 30% of patients with Roux-en-Y gastric bypass. The majority of such patients require endoscopic therapy, and many will require revisional surgery after endoscopic therapy fails. We present a novel stepwise approach for definitive endoscopic management of refractory GJ strictures. Methods: A 56-year-old female with prior balloon dilatation and lumen-apposing metal stent (LAMS) placement underwent EUS-guided gastric outlet remodeling (EUS-GOR). Two LAMSs were placed in parallel, 1 across the native GJ anastomosis and 1 from the pouch into the afferent limb. After maturation of the intervening tissue tract and prophylactic suturing, a septotomy was performed using wire-guided traction. Results: The patient tolerated the procedure well and without adverse events. The GJ anastomosis at the end of the procedure measured 20 mm at 3-month follow-up. The patient's body mass index increased from 16.5 to 22.4 kg/m Conclusions: EUS-GOR is a feasible and minimally invasive option for carefully selected patients with a refractory GJ anastomotic stricture.
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