EUS Guided Ileo Colostomy with LAMS for Malignant Small Bowel Obstruction

Video Transcription

Video Summary

The video discusses the use of endoscopic ultrasound-guided ileocolostomy for the treatment of malignant small bowel obstruction. Traditional management methods for small bowel obstruction, such as bowel rest and nasogastric tube decompression, may not be effective in preventing complications like perforation. Non-surgical options like venting PEG tubes or intraluminal stents may also have limitations, particularly in cases of peritoneal carcinomatosis. Endoscopic ultrasound-guided lumen opposing metal stent (LAMS) insertion provides a bypass for multiple potential sites of obstruction and can address strictures that may not be reachable endoscopically. The video presents a case study of a patient who underwent this procedure and experienced improved symptoms and outcomes.

Keywords

endoscopic ultrasound-guided ileocolostomy

malignant small bowel obstruction

bowel rest

nasogastric tube decompression

venting PEG tubes