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. 2023 Sep 21;55(Suppl 1):E1065–E1067. doi: 10.1055/a-2161-3450

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The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 1 — Endoscopic ultrasound (EUS)-guided placement of lumen-apposing metal stent (LAMS). a Puncture of the excluded stomach with a 19G needle. b Saline, methylene blue, and iodate contrast instillation allowing lumen distension. c Fluoroscopy of gastric folds. d Deployment of 20-mm LAMS under EUS and fluoroscopic view. e Methylene blue confirming successful gastro-gastrostomy.