Alternative uses of lumen apposing metal stents

Figure 5 An attractive procedure to treat patients with gastric outlet obstruction as an alternative to surgery. A: Initial computed tomography demonstrating gastric outlet obstruction; B: Fluoroscopy with duodenal stenosis and distal filling with contrast diluted in sterile water; C: Endoscopic ultrasound-guided gastroenterostomy demonstrating filling of distal bowel; D: Successful placement of lumen apposing metal stent (LAMS); E: Endoscopic image of gastroenterostomy placement with LAMS; F: Follow-up radiograph demonstrating successful LAMS placement to achieve gastroenterostomy.