ASGE DDW Videos from Around the World | 2025-EUS GUIDED COLO-ILEAL ANASTOMOSIS FOR MANAGEMENT OF MALIGNANT SMALL BOWEL OBSTRUCTION

EUS GUIDED COLO-ILEAL ANASTOMOSIS FOR MANAGEMENT OF MALIGNANT SMALL BOWEL OBSTRUCTION

Video Transcription

Video Summary

This video discusses an EUS-guided coloileal anastomosis using a lumen-opposing metal stent to manage small bowel obstruction caused by right colon malignancy in patients unfit for surgery. A 68-year-old male with abdominal pain and severe medical conditions underwent the procedure after declining surgery and venting peg. The procedure involved deploying a stent across the colon into the small bowel to allow passage of stool and alleviate symptoms. It offers a minimally invasive option for patients not suitable for surgical intervention, improving their ability to have internal nutrition and manage bowel obstruction effectively.

Asset Subtitle

Saurabh Mukewar

Keywords

EUS-guided anastomosis

lumen-opposing metal stent

small bowel obstruction

right colon malignancy

minimally invasive procedure