Abstract

Fully-covered lumen apposing metal stents (LAMS) are being used for an increasing number of clinical indications. A recent application is to create an endoscopic bypass for patients with luminal obstruction who are not surgical candidates. Stent dislodgement during deployment is a dreaded complication. We present a case of a 90-year-old man with a history of groove pancreatitis with gastric outlet obstruction who was receiving nutrition via a percutanous gastrostomy with jejunal extension (PEG-J). Due to his age, he was not offered surgery and an endoscopic gastrojejunal bypass was performed.

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