ASGE DDW Videos from Around the World | 2026-ENDOSCOPIC RESCUE IN A FROZEN ABDOMEN- EUS-LAMS AND MAGNET ANASTOMOSIS TO RESTORE QUALITY OF LIFE

ENDOSCOPIC RESCUE IN A FROZEN ABDOMEN- EUS-LAMS AND MAGNET ANASTOMOSIS TO RESTORE QUALITY OF LIFE

Video Transcription

Video Summary

A 50-year-old woman with a frozen abdomen after extensive bowel surgery was no longer a surgical candidate and had severe obstruction with poor quality of life. The team first performed an ultrasound-guided endoscopic gastroenterostomy using lumen-apposing metal stents to decompress the excluded stomach. Later, they restored bowel continuity with a magnet-assisted endoscopic duodenocolostomy. Using gastroscope, colonoscope, fluoroscopy, guidewires, and magnets, they created a 15-mm anastomosis. The patient resumed oral intake, passed stool normally, and improved markedly. This case highlights the potential of advanced therapeutic endoscopy to reconstruct gastrointestinal continuity in complex, high-risk patients.

Asset Subtitle

D.T. De Moura, E.T. Moura, A.F. SILVA, H.M. Nascimento, G.O. Luz, M. Lera Dos Santos, M.C. Franco, E.G. De Moura

Meta Tag

Concept Therapeutic Endoscopy

Concept Gastrointestinal Anastomosis

Concept Endoscopic Ultrasound

Concept Lumen-Apposing Metal Stent

Concept Magnet-Assisted Anastomosis

Keywords

endoscopic gastroenterostomy

lumen-apposing metal stents

magnet-assisted duodenocolostomy

bowel obstruction

therapeutic endoscopy

Therapeutic Endoscopy

Gastrointestinal Anastomosis

Endoscopic Ultrasound

Lumen-Apposing Metal Stent

Magnet-Assisted Anastomosis