ASGE DDW Videos from Around the World | 2025-ENDOSCOPIC ULTRASOUND (EUS) GUIDED COLO-ILEAL ANASTOMOSIS WITH LUMEN APPOSING METAL STENT (LAMS) FOR SUCCESSFUL MANAGEMENT OF MALIGNANT DISTAL ILEAL OBSTRUCTION IN PERITONEAL CARCINOMATOSIS WITH ALTERED ANATOMY

ENDOSCOPIC ULTRASOUND (EUS) GUIDED COLO-ILEAL ANASTOMOSIS WITH LUMEN APPOSING METAL STENT (LAMS) FOR SUCCESSFUL MANAGEMENT OF MALIGNANT DISTAL ILEAL OBSTRUCTION IN PERITONEAL CARCINOMATOSIS WITH ALTERED ANATOMY

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Video Transcription

Video Summary

The video demonstrates an advanced endoscopic procedure, EOS-guided choleoileal anastomosis using a lumen-apposing metal stent (LAMS), to manage a malignant distal ileal obstruction in a patient with peritoneal carcinomatosis and altered anatomy. The 58-year-old patient, previously unfit for surgery, presented with severe symptoms of bowel obstruction. The endoscopic approach enabled rapid decompression and symptomatic relief by creating a bypass for free fecal drainage. The procedure, suitable for patients unable to undergo traditional surgeries, offers a novel and effective palliation method, reducing morbidity and addressing challenges posed by intestinal adhesions and altered anatomy.

Keywords

EOS-guided choleoileal anastomosis

lumen-apposing metal stent

malignant distal ileal obstruction

peritoneal carcinomatosis

endoscopic procedure