Lower GI-RESTORATION OF COLONIC CONTINUITY UTILIZING AN EUS-GUIDED RENDEZVOUS PROCEDURE

RESTORATION OF COLONIC CONTINUITY UTILIZING AN EUS-GUIDED RENDEZVOUS PROCEDURE

Video Transcription

Video Summary

The video discusses a case study of a 73-year-old man with rectal adenocarcinoma who experienced complete fibrotic occlusion of the colorectal anastomosis following surgery. Instead of opting for revisional surgery, a less invasive approach called the EUS-guided rendezvous procedure was performed. This involved using endoscopes to recanalize the obstructed anastomotic lumen, followed by the placement of a lumen-opposing metal stent to restore luminal continuity. The procedure was successful, and the patient tolerated it well. Follow-up procedures were planned to ensure the ongoing patency of the colorectal anastomosis. The video emphasizes that the EUS-guided rendezvous approach can be used as an alternative to major revisional surgery in select patients. <br /><br />(Word Count: 130)

Asset Subtitle

Best of the Best - Authors: Don C. Codipilly, Eric J. Vargas, Cadman L. Leggett, Michael J. Levy, Louis M. Wong Kee Song

Keywords

rectal adenocarcinoma

fibrotic occlusion

colorectal anastomosis

EUS-guided rendezvous procedure

lumen-opposing metal stent