Secured Lumen-Apposing Fully Covered Metallic Stents for Stenoses in Post-Bariatric Surgery Patients

Cem Simsek, Yervant Ichkhanian, Lea Fayad, Kimberly E. Steele, Michael A. Schweitzer, Katherine Lamond, Kia Vosoughi, Jay Doshi, Tazkia Shah, Andreas Oberbach, Abdulhameed Al-Sabban, Alex Gandsas, Anthony N. Kalloo, Mouen A. Khashab, Vivek Kumbhari

Research output: Contribution to journalArticle

Abstract

New approaches for refractory stenosis in post-bariatric surgical patients include fully covered lumen-apposing metallic stents (LAMS); however, stent migration continues to be a problem. Endoscopic suture placement to LAMS can reduce the migration. Aiming to assess the feasibility and safety of the procedure, we evaluated nine consecutive patients with inability to tolerate a solid diet due to a benign gastrointestinal stricture recalcitrant to previous attempts at endoscopic therapy. All patients were symptom-free starting from 1-week follow-up. Median stent dwell time was nearly 3 months. During the removal procedures, three incidental foreign bodies were found and removed. No stent migration was observed in any patients. Suturing LAMS is a feasible technique allowing for prolonged stent dwell times; however, it requires a high level of expertise plus additional procedure time.

Original languageEnglish (US)
JournalObesity Surgery
DOIs
StatePublished - Jan 1 2019

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Keywords

  • Bariatric surgery
  • Lumen-apposing metallic stent
  • Obesity
  • Self-expandable metallic stents
  • Stricture

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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