A novel rescue maneuver for a distal dislodged lumen-apposing metal stent (LAMS): LAMS-in-LAMS technique

Abstract

The appearance of the lumen-apposing metal stent (LAMS) has resulted in a revolution in the interventional endoscopic ultrasound (EUS) field. The results to date are promising, although the technical incidents and LAMS-related complications should be noted. We present the case of a 36-year-old male with oral intolerance due to a duodenal obstruction caused by a voluminous walled-off necrosis (WON), secondary to a severe acute pancreatitis. EUS-transmural guided drainage was decided upon by a multidisciplinary committee.