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.

Meta Tag

Concept Malignant Small Bowel Obstruction

Concept Endoscopic Ultrasound

Concept Peritoneal Carcinomatosis

Concept Urgent Decompression

Concept Malignant Distal Ileal Obstruction

Keywords

EOS-guided choleoileal anastomosis

lumen-apposing metal stent

malignant distal ileal obstruction

peritoneal carcinomatosis

endoscopic procedure

Malignant Small Bowel Obstruction

Endoscopic Ultrasound

Peritoneal Carcinomatosis

Urgent Decompression

Malignant Distal Ileal Obstruction