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Case Reports
. 2018 Aug;11(4):282-285.
doi: 10.1007/s12328-018-0837-5. Epub 2018 Mar 5.

EUS-guided colo-enterostomy as a salvage drainage procedure in a high surgical risk patient with small bowel obstruction due to severe ileocolonic anastomotic stricture: a new application of lumen-apposing metal stent (LAMS)

Hugh D Mai  1 , Ethan Dubin  2 , Arun A Mavanur  3 , Marvin Feldman  4 , Sudhir Dutta  5   6
Affiliations
Case Reports

EUS-guided colo-enterostomy as a salvage drainage procedure in a high surgical risk patient with small bowel obstruction due to severe ileocolonic anastomotic stricture: a new application of lumen-apposing metal stent (LAMS)

Hugh D Mai et al. Clin J Gastroenterol. 2018 Aug.

Abstract

We submit the first case report of a successful EUS-guided transmural LAMS placement to drain the small bowel directly into the transverse colon in a high surgical risk patient with obstruction due to severe anastomotic stricture. We describe our technique for endoscopic colo-enterostomy and are hopeful that this will become a viable option to manage non-operable high-grade distal small bowel obstruction.

Keywords: Anastomotic stricture; Colo-enterostomy; EUS-guided drainage; LAMS; SBO.

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References

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