Transstomal EUS-guided ileocolostomy for relief of malignant small-bowel obstruction

Abstract Text A 53-years-old man with bladder carcinoma underwent radical cystectomy in 2018 and Hartman’s procedure with left colostomy in 2022 due to recurrent disease. He was admitted in 2023 for complete intestinal obstruction. The patient was deemed unfit for surgery, hence endoscopic recanalization was proposed as an alternative. Thus, the cecum was reached using a standard colonoscope and a guidewire was released as a reference. The echoendoscope was therefore advanced via the colostomy up to the cecum, using fluoroscopy and the guidewire. Under endosonographic view, a dilated loop with buildup of intestinal material was immediately visible and a ileocolonic anastomosis was performed with fecal material backflow upon LAMS release.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/cd319def-1665-4cf4-990f-9be4291f6d06/Uploads/13821_Video_ESGE%2023-24.mp4

Publication History

Article published online:
15 April 2024