EUS-guided pseudocyst drainage through a gastric pouch by use of a lumen-apposing metal stent in a patient with Roux-en-Y anatomy

摘要

EUS-guided drainage of a pancreatic pseudocyst is thepreferred method for the management of symptomaticpseudocysts. We describe a first case of drainage of a pancreatic pseudocyst using a lumen-apposing metal stent (LAMS)via a gastric pouch in a patient with Roux-en-Y anatomy. A39-year-old woman with a history of Roux-en-Y gastricbypass and idiopathic recurrent acute pancreatitis wasadmitted because of refractory nausea, vomiting, and early.