“Knitting-through-the-mesh”: novel single-channel troubleshooter technique for dilation-assisted transstricture retrieval of a migrated gastroduodenal stent

Abstract

Gastroduodenal stenting using self-expandable metallic stents (SEMSs) represents a viable endoscopic option for palliative treatment of gastric outlet obstruction (GOO), less invasive relative to surgical and/or endoscopic ultrasound-guided gastroenterostomy (EUS-GE). Nevertheless, high rates of stent dysfunction remain a significant Achilles′ heel of the procedure. Endoscopic removal of a distally migrated gastroduodenal stent remains challenging with single-channel techniques, calling for individually tailored solutions vis-à-vis the inevitable upstream stricture.

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