First case of endoscopic ultrasound-guided gastrojejunal anastomosis for duodenal stricture in refractory Crohn's disease: a bridge toward inflammation control.

Endoscopic ultrasonography-guided gastrojejunal anastomosis (EUS-GJA) was developed in 2015 using a lumen-apposing metal stent (LAMS) [1] [2]. Its application was described for malignant bowel obstruction and a few cases of benign obstruction [3] [4]. Crohn’s disease is an inflammatory bowel disease that could induce inflammatory or fibrotic bowel strictures, the management of which includes medical therapy, endoscopic dilation or surgical resection [5]. We report a case of duodenal stricture in severe Crohn’s disease and short bowel syndrome. [...]