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. 2022 Feb 2;7(3):109-111.
doi: 10.1016/j.vgie.2021.12.007. eCollection 2022 Mar.

Endoscopic ultrasound-guided ileosigmoidostomy using a lumen-apposing metal stent for palliation of malignant small-bowel obstruction

Donevan Westerveld  1 , Kaveh Hajifathalian  1 , David Carr-Locke  1 , Kartik Sampath  1 , Reem Sharaiha  1 , Srihari Mahadev  1
Affiliations

Endoscopic ultrasound-guided ileosigmoidostomy using a lumen-apposing metal stent for palliation of malignant small-bowel obstruction

Donevan Westerveld et al. VideoGIE. .

Abstract

Video 1Endoscopic ultrasound-guided ileosigmoidostomy for relief of small bowel obstruction.

Keywords: LAMS, lumen-apposing metal stent; SBO, small-bowel obstruction.

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Figures

Figure 1
Figure 1
CT scan showing a high-grade small-bowel obstruction (yellow arrow) and dilation.
Figure 2
Figure 2
Malignant colonic stenosis at the ileocolonic anastomosis.
Figure 3
Figure 3
Fluoroscopic imaging of the malignant and nontraversable stricture.
Figure 4
Figure 4
Linear echoendoscope accessing the small bowel via a 22-gauge needle.
Figure 5
Figure 5
EUS-guided deployment of the distal flange of the lumen-apposing metal stent (arrow).
Figure 6
Figure 6
Successful deployment of the lumen-apposing metal stent forming the ileosigmoidostomy.
Figure 7
Figure 7
Postprocedure transverse view of the abdominal CT scan showing proper placement of the lumen-apposing metal stent (red arrow).
Figure 8
Figure 8
Postprocedure sagittal view of the abdominal CT scan showing proper placement of the lumen-apposing metal stent (red arrow).
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References

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