Delayed Jejunal Perforation after Endoscopic Ultrasound-Guided Gastroenterostomy: A Case Report and Literature Review.

ABSTRACT:

Introduction

Endoscopic ultrasound-guided gastroenterostomy is an emerging treatment for malignant gastric outlet obstruction, with high clinical and technical success rates and reported complication risks around 10%. However, the long-term risks associated with the presence of a metal stent remain unclear.

Case presentation

We present the case of a 35-year-old male with duodenal carcinoma and peritoneal metastases, treated with endoscopic ultrasound-guided gastroenterostomy because of gastric outlet obstruction, who developed a delayed jejunal perforation 10 months after the procedure. The perforation, likely related to the lumen-apposing metal stent, was resected. Thereafter, the patient recovered and resumed immunotherapy with no measurable disease on follow-up computed t

SUBMITTER: van der Laan IN 

PROVIDER: S-EPMC12503476 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature