ASGE DDW Videos from Around the World | 2024-PALLIATIVE USE OF LAMS IN TANDEM TO ALLEVIATE MALIGNANT BOWEL OBSTRUCTIONS IN A PATIENT WITH SMALL BOWEL ADENOCARCINOMA WITH CARCINOMATOSIS

PALLIATIVE USE OF LAMS IN TANDEM TO ALLEVIATE MALIGNANT BOWEL OBSTRUCTIONS IN A PATIENT WITH SMALL BOWEL ADENOCARCINOMA WITH CARCINOMATOSIS

Back to course

Video Transcription

Video Summary

This presentation discusses the use of EUS-guided tandem LAMPS placement to relieve malignant bowel obstruction in a patient with small bowel adenocarcinoma and carcinomatosis. Surgical management of such obstructions carries risks, leading to exploration of endoscopic options like stents. A case study of a 55-year-old female with multiple obstructions led to the decision for tandem lumen opposing metal stents with a venting jejunostomy tube for palliative care. The procedure was successful, improving the patient's quality of life, allowing her to attend her daughter's wedding before passing away peacefully three months later. This innovative technique offers hope for managing complex malignant obstructions in high-risk patients.

Asset Subtitle

Ibrahim Yaghnam

Meta Tag

Concept Lumen-Apposing Metal Stent

Concept Malignant Small Bowel Obstruction

Concept Multilevel Obstruction

Concept Gastroenterostomy

Concept Enteroenterostomy

Keywords

EUS-guided tandem LAMPS placement

malignant bowel obstruction

small bowel adenocarcinoma

carcinomatosis

tandem lumen opposing metal stents

Lumen-Apposing Metal Stent

Malignant Small Bowel Obstruction

Multilevel Obstruction

Gastroenterostomy

Enteroenterostomy