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LAMS have the right shape for select strictures (pyloric, etc). Backload a LAMS stent for easier deployment across an enteral stricture Line it up, fold it, pull into channel Locate stricture and use “push” to deploy. #GITwitter #Endoscopy #MedEd #SoMe4Surgery #medicine

Neil Sharma, M.D. FASGE, FACG, AGAF

6,192 subscribers

32,920 Aufrufe • vor 2 Jahren •via X (Twitter)

Gesundheit & Wellness #GITwitter #Endoscopy #MedEd #SoMe4Surgery #medicine

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10 Kommentare

Profilbild von Prabhleen Chahal MD,FASGE,FACG

Prabhleen Chahal MD,FASGE,FACGvor 2 Jahren

@RashidLui @AdvaniRashmiMD @SighPichamol @allie_schulman @SunilAminMD @TrieuMD @MLongMD @MendozaLadd @PerelmansPearls Beautiful demonstration. I use this technique for DEN if LAMS removal is needed for more swift necrosectomy and replace same LAMS back

Profilbild von Nadeem Tehami

Nadeem Tehamivor 2 Jahren

@RashidLui @AdvaniRashmiMD @ChahalPrabhleen @SighPichamol @allie_schulman @SunilAminMD @TrieuMD @MLongMD @MendozaLadd @PerelmansPearls The only issue with this technique is the difficulty in releasing the teeth of the biopsy forceps from stent mesh which can result in stent displacement. Why not to use the original assembly of Axios to deploy the stent or use Spaxus stent (half cost, same result)!?

Profilbild von Change your password

Change your passwordvor 2 Jahren

@RashidLui @AdvaniRashmiMD @ChahalPrabhleen @SighPichamol @allie_schulman @SunilAminMD @TrieuMD @MLongMD @MendozaLadd @PerelmansPearls Good ?s 😊 No spaxus here in the USA Have done both ways for enteral: Original & as above As for issues w displacement from forceps ..done many, many - hasn’t happened (as yet) The forceps is at the distal aspect of the stent so it’s easy to release & you have a better view

Profilbild von Sukrit Sud MD,DM

Sukrit Sud MD,DMvor 2 Jahren

@RashidLui @AdvaniRashmiMD @ChahalPrabhleen @SighPichamol @allie_schulman @SunilAminMD @TrieuMD @MLongMD @MendozaLadd @PerelmansPearls We backload LAMS and cardiac septal occluders (larger than 20mm) in the same way and keep a dental floss attached on proximal flange for traction and better control during deployment

Profilbild von Sajjad Mahmood

Sajjad Mahmoodvor 2 Jahren

@RashidLui @AdvaniRashmiMD @ChahalPrabhleen @SighPichamol @allie_schulman @SunilAminMD @TrieuMD @MLongMD @MendozaLadd @PerelmansPearls Useful technique if scope goes through the area where you want to deploy stent or very short stricture otherwise the original cold axios may be an easier/cheaper option

Profilbild von Judy Trieu, MD, MPH

Judy Trieu, MD, MPHvor 2 Jahren

@RashidLui @AdvaniRashmiMD @ChahalPrabhleen @SighPichamol @allie_schulman @SunilAminMD @MLongMD @MendozaLadd @PerelmansPearls Oh nice! Gives such better control!

Profilbild von Rashmi Advani, MD, ABOM

Rashmi Advani, MD, ABOMvor 2 Jahren

@RashidLui @ChahalPrabhleen @SighPichamol @allie_schulman @SunilAminMD @TrieuMD @MLongMD @MendozaLadd @PerelmansPearls This is satisfying to watch!

Profilbild von Shifa Umar, MD

Shifa Umar, MDvor 2 Jahren

@RashidLui @AdvaniRashmiMD @ChahalPrabhleen @SighPichamol @allie_schulman @SunilAminMD @TrieuMD @MLongMD @MendozaLadd @PerelmansPearls @SanchezLunaMD

Profilbild von Carlos Volcan, MD

Carlos Volcan, MDvor 2 Jahren

@RashidLui @AdvaniRashmiMD @ChahalPrabhleen @SighPichamol @allie_schulman @SunilAminMD @TrieuMD @MLongMD @MendozaLadd @PerelmansPearls Excellent!!, two questions, how many millimeters is the caliber of the working channel of that endoscope? Doesn't the Stent lose its shape when introduced through that channel?

Profilbild von Dr Kailash Kolhe

Dr Kailash Kolhevor 2 Jahren

@RashidLui @AdvaniRashmiMD @ChahalPrabhleen @SighPichamol @allie_schulman @SunilAminMD @TrieuMD @MLongMD @MendozaLadd @PerelmansPearls Just a doubt Hw if push technique fails(sir can u please share a video of live procedure if possible) How about loading the same stent in its delivery system(tough indeed but possible) TFS this wonderful idea

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