A 19-year-old man diagnosed with diffuse large B-cell lymphoma undergoing chemotherapy presented for recurrent emesis and weight loss. Imaging studies of the abdomen demonstrated features of superior mesenteric artery syndrome. The patient deferred conservative treatment options and was deemed not to be a surgical candidate. Endoscopic ultrasound-guided gastroenterostomy using a lumen-apposing metal stent was performed to bypass the obstruction. Subsequently, the patient's oral intake and weight significantly improved. The stent was removed 6 months after placement with resolution of superior mesenteric artery syndrome symptoms.
Table 1. Results of comparison of technical success, clinical success, and rate of adverse events between the transgastric and transduodenal/transjejunal approach METHOD 1-Including studies with patients in both arms N of studies Pooled odds ratio (TG vs. TD/TJ) 95% CI p-value Adverse events 6 1.58 0.46-5.45 0.47 Clinical success 3 0.30 0.06-1.48 0.14 Technical success 3 0.30 0.05-1.89 0.20 METHOD 2-: Including all the studies N of Studies (TG vs TD/TJ) AE(%) 95% CI p-value Adverse events 9 vs 15 27.5% vs 15.2% 17.1%-41.1%) vs (9.5%-23.6%) 0.07 Clinical success 6 vs 13 83.3% vs 91.7% (71.0%-91.0%) vs (82.4%-96.3%) 0.16 Technical success 9 vs 15 91.3% vs 95.6% 83.6%-95.6%) vs 90.7%-97.7%) 0.22 S1118 Safety and Efficacy of the Novel EndoRotor Device for the Treatment of Walled-Off Pancreatic Necrosis (WOPN): A Systematic Review and Meta-Analysis
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