Lumen-apposing metal stent placement after endoscopic ultrasound-guided duodenojejunal anastomosis for direct access to excluded jejunal limb: findings after 5 years

Since their introduction, lumen-apposing metal stents (LAMSs) have been used successfully for symptomatic intra-abdominal collections [1] and biliary system (gallbladder, common bile duct) drainage [2]. More recently, they have also been used for gastrointestinal anastomosis [3]. We previously reported on a case series of 11 consecutive patients who underwent endoscopic ultrasound-guided duodeno- and jejunojejunal anastomosis with LAMS to obtain direct access to the excluded jejunal limb in patients with hepatico-jejunal stricture [3]. During an average follow-up of 781 days (SD 253.1 days) after duodenojejunal anastomosis, LAMSs were still in place with no evidence of adverse events. The aim of leaving the LAMS in place was to keep patent access to the hepatico-jejunostomy even after resolution of the stricture given its high recurrence rate.