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- W3033328013 abstract "A 64-year old female with a history of Roux-en-y gastric bypass was admitted to our hospital for management of severe pancreatitis complicated by walled-off necrosis. In this patient, large areas of walled-off necrosis extended along the pericolic gutters and were not in close communication with the gastric pouch. Thus, we performed a trans-remnant endoscopic drainage (TREnD) procedure. The excluded stomach was accessed via a lumen apposing metal stent which was then dilated and sutured into place. Later, once the excluded stomach was accessed, additional transgastric and transduodenal lumen apposing metal stents were deployed and necrosectomies were performed. Following our multiple interventions with lumen apposing metal stents resolution of the patient’s fluid collections was achieved. Our case illustrates how the TREnD procedures allows endoscopists to manage complex fluid collections in patients with Roux-en-y gastric bypass anatomy." @default.
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- W3033328013 date "2020-06-01" @default.
- W3033328013 modified "2023-10-14" @default.
- W3033328013 title "1066 A START OF A NEW TREND: TRANS-REMNANT ENDOSCOPIC DRAINAGE FOR MANAGEMENT OF WALLED-OFF NECROSIS IN A PATIENT WITH ROUX-EN-Y GASTRIC BYPASS" @default.
- W3033328013 doi "https://doi.org/10.1016/j.gie.2020.03.862" @default.
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