Edward C Oldfield IV1* and Parth J Parekh2
1Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of Virginia, USA
2Department of Internal Medicine, Division of Gastroenterology, Eastern Virginia Medical School, USA
Gastrojejunostomy anastomotic stricture following Roux-en-Y gastric bypass is a common complication of the surgery, which can result in significant morbidity and impaired quality of life for patients. Past endoscopic interventions have been limited in their durability of response, in particular for recurrent strictures. Here, we illustrate the use of a lumen-apposing metal stent with endoscopic suturing for long-term management of a gastrojejunostomy anastomotic stricture after failed balloon dilation with excellent patient outcome at 6 months follow stent removal.
Edward C Oldfield IV, Parekh PJ. Salvage Therapy for Recurrent Gastrojejunal Anastomotic Stricture Using a Lumen Apposing Metal Stent. Clin Surg. 2020; 5: 2894..