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ASGE International Sampler (On-Demand) | 2024
PALLIATIVE USE OF LAMS IN TANDEM TO ALLEVIATE MALI ...
PALLIATIVE USE OF LAMS IN TANDEM TO ALLEVIATE MALIGNANT BOWEL OBSTRUCTIONS IN A PATIENT WITH SMALL BOWEL ADENOCARCINOMA WITH CARCINOMATOSIS
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Video Transcription
Video Summary
This presentation discusses the use of EUS-guided tandem LAMPS placement to relieve malignant bowel obstruction in a patient with small bowel adenocarcinoma and carcinomatosis. Surgical management of such obstructions carries risks, leading to exploration of endoscopic options like stents. A case study of a 55-year-old female with multiple obstructions led to the decision for tandem lumen opposing metal stents with a venting jejunostomy tube for palliative care. The procedure was successful, improving the patient's quality of life, allowing her to attend her daughter's wedding before passing away peacefully three months later. This innovative technique offers hope for managing complex malignant obstructions in high-risk patients.
Asset Subtitle
Ibrahim Yaghnam
Keywords
EUS-guided tandem LAMPS
malignant bowel obstruction
small bowel adenocarcinoma
endoscopic stents
palliative care
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