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. 2021 Oct 16;6(12):555-558.
doi: 10.1016/j.vgie.2021.09.003. eCollection 2021 Dec.

Palliation of malignant distal colonic obstruction via percutaneous endoscopic colostomy using a lumen-apposing metal stent

Andrew Canakis  1 , Todd H Baron  2
Affiliations

Palliation of malignant distal colonic obstruction via percutaneous endoscopic colostomy using a lumen-apposing metal stent

Andrew Canakis et al. VideoGIE. .

Abstract

Video 1Palliation of malignant distal colonic obstruction via a percutaneous endoscopic colostomy using a lumen-apposing metal stent.

Keywords: LAMS, lumen-apposing metal stent.

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Figures

Figure 1
Figure 1
CT sagittal view demonstrating inadequate stent expansion with a 90-degree posterior kink at the junction of the superior and inferior stents.
Figure 2
Figure 2
CT sagittal (left) and axial (right) views on admission demonstrating signs of large-bowel obstruction.
Figure 3
Figure 3
Placement of external T-tags in the transverse colon.
Figure 4
Figure 4
Advancement of a lumen-apposing metal stent into the colon under direct endoscopic visualization.
Figure 5
Figure 5
Endoscopic deployment of internal flange with withdrawal from the external side to allow apposition to the colonic wall.
Figure 6
Figure 6
Deployed stent with balloon dilation catheter within the stent lumen.
Figure 7
Figure 7
Fluoroscopic view of colonoscope in the right colon segment and deployment of stent across the colostomy tract.
Figure 8
Figure 8
Image taken with the endoscope showing esophageal stent placed in the ostomy track at the time of transostomy EUS-guided ileocolonic anastomosis for subsequent small-bowel obstruction.
Figure 9
Figure 9
CT imaging sagittal (left) and axial (right) views after the procedure in which the lumen-apposing metal stent can be seen.
See this image and copyright information in PMC

Comment in

References

    1. Abelson J.S., Yeo H.L., Mao J., et al. Long-term postprocedural outcomes of palliative emergency stenting vs stoma in malignant large-bowel obstruction. JAMA Surg. 2017;152:429–435. - PMC - PubMed
    1. Ramage J.I., Jr., Baron T.H. Percutaneous endoscopic cecostomy: a case series. Gastrointest Endosc. 2003;57:752–755. - PubMed

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