ASGE DDW Videos from Around the World | 2024-ENDOSCOPIC ULTRASOUND GUIDED ILEO COLOSTOMY CREATION TO MANAGE DISTAL SMALL BOWEL OBSTRUCTION

ENDOSCOPIC ULTRASOUND GUIDED ILEO COLOSTOMY CREATION TO MANAGE DISTAL SMALL BOWEL OBSTRUCTION

Video Transcription

Video Summary

Endoscopic ultrasound-guided ileocolostomy was performed on a 73-year-old male with metastatic gallbladder cancer to manage a small bowel obstruction, as surgery was not an option. The procedure involved placing a stent to create an opening in the small bowel for stool passage. The patient recovered well post-operatively, showing improvement in bowel movements and tolerating oral intake. One-year follow-up revealed successful stent placement without obstruction. This case demonstrates that EUS-guided ileocolostomy is a safe and effective treatment for distal small bowel obstructions in non-surgical patients, offering a durable solution with improved quality of life.

Asset Subtitle

Brysen Keith

Keywords

Endoscopic ultrasound-guided ileocolostomy

metastatic gallbladder cancer

small bowel obstruction

stent placement

non-surgical treatment