A stent too far: endoscopic ultrasonography-guided duodenojejunostomy for malignant duodenal obstruction after placement of a stent in the horizontal part

Video 1 Endoscopic ultrasonography-guided duodenojejunostomy for malignant duodenal obstruction after placement of a stent in the horizontal part. These authors contributed equally. Fig. 3 Procedure for identifying the site of puncture.a The distance between the stomach and the jejunum was too great for anastomosis.b The distance between the duodenal bulb and the distal balloon was appropriate for stent placement. Fig. 4 Procedure for endoscopic ultrasonography-guided duodenojejunostomy.a Echoen- doscopic view of stent deployment.b A guidewire was advanced into the jejunum through the stent. Fig. 5 Postoperative barium radiogra- phy image.