A 25 year-old woman presented with vomiting. CT showed gastric dilatation and “windsock sign” typical of of duodenal web. She underwent surgical duodenojejunostomy, but this failed because of oedematous substenosis of duodenojejunal surgical anastomosis. EUS-Gastroenterostomy was proposed as temporary alternative during surgical anastomosis healing. Duodenal web was cannulated with a guidewire to regain access to the Treitz region bypassed by the surgery. Then an orojejunal tube was placed over the ligament of Treitz following a standard Wireless Simplified EUS-Gastroenterostomy technique (WEST). A 20mm Lumen Apposing Metal Stent (LAMS) was placed free-hand. The patient tolerated oral liquids and solid food on postoperative day 1 and 2. Six months later, X-Ray contrast study and endoscopy confirmed patency of the surgical anastomosis and the LAMS was removed.