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

Keywords

endoscopic gastroenterostomy

lumen-apposing metal stents

magnet-assisted duodenocolostomy

bowel obstruction

therapeutic endoscopy