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Updated: Jul 11, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Enteroscopy-Assisted EUS-Guided Trans-gastric Intervention After Roux-en-Y Gastric Bypass Surgery.
Madeline Seagle1, Wencheng Li2, James Perumpillichira3
1Wake Forest University School of Medicine, Winston-Salem, NC, 27157, USA.
Endoscopic ultrasound-directed trans-gastric interventions (EDGI) enabled treatment for a patient with Roux-en-Y anatomy. Lumen apposing metal stents (LAMS) facilitated diagnosis and management of choledocholithiasis and malignancy.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
- Surgical Oncology
Background:
- Roux-en-Y gastric bypass (RYGB) anatomy presents unique challenges for endoscopic interventions.
- Endoscopic ultrasound-directed trans-gastric interventions (EDGI) using lumen apposing metal stents (LAMS) are emerging techniques for managing complications in RYGB patients.
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