EUS-guided enterocolostomy for palliation of malignant distal small-bowel obstruction

Sooklal, Shelini; Kumar, Anand

doi:10.1016/j.vgie.2019.07.015

Cited by 8 publications

(6 citation statements)

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“…Endoscopic management of distal SBO using an LAMS has been described in the literature. 1,2 To our knowledge, we present the first reported case of a successfully performed EUS-guided bypass of a high-grade SBO using an LAMS to create a conduit between the ileum and sigmoid colon. Compared with the previously reported studies, an ileosigmoidostomy offers a less technically challenging procedure, obviating the need for a full colonoscopy, forwardviewing echoendoscope, and colon preparation.…”

Section: Discussionmentioning

confidence: 94%

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

Westerveld¹,

Hajifathalian²,

Carr‐Locke³

et al. 2022

VideoGIE

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Section: Discussionmentioning

confidence: 94%

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

Westerveld¹,

Hajifathalian²,

Carr‐Locke³

et al. 2022

VideoGIE

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“…Other applications of EUS-GE are also emerging. Enteroentero and enterocolonic anastomosis using EUS and LAMS have also been reported recently for the treatment of strictures or malignancy, as well as to access the small bowel limb hosting the pancreaticobiliary anastomoses in post-surgical patients requiring pancreaticobiliary intervention (81)(82)(83)(84)(85).…”

Section: Discussionmentioning

confidence: 99%

Therapeutic endoscopic ultrasound

Duarte-Chavez¹,

Kahaleh²

2021

Transl Gastroenterol Hepatol

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Endoscopic ultrasound (EUS) has been continuously evolving for the past three decades and has become widely used for both diagnostic and therapeutic purposes. The efficacy of therapeutic EUS (TEUS) has proven to be superior and better tolerated than conventional percutaneous or surgical techniques.TEUS has allowed the performance of multiple procedures including gallbladder, pancreatic duct and biliary drainage as well as gastrointestinal anastomoses. TEUS procedures generally require the following critical steps: needle access, guidewire placement, fistula creation and stent deployment. The indications and contraindication for TEUS procedures vary with different procedures but common contraindications include hemodynamic instability, severe coagulopathy unable to be reversed, large volume ascites or the inability to obtain access to the target site. Proficiency and high volume in endoscopic retrograde cholangiopancreatography (ERCP) and diagnostic EUS procedures are required for training in TEUS. The complexity of the cases performed can be seen as a pyramid with drainage of pancreatic fluid collections at the base, pancreaticobiliary decompression in the middle, and creation of digestive anastomosis at the top. The mastery of each level is crucial prior to reaching the next level of complexity. TEUS has been incorporated in our arsenal and is impacting on a daily basis the way we offer minimally invasive therapy.

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“…surgery) were ruled out for clinical reasons or refused by the patient. Median time between MIO symptoms onset and EUS-EC was 7.5 [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] days.…”

Section: Study Populationmentioning

confidence: 99%

“…Current endoscopic approaches have several limitations and include enteral stenting and percutaneous endoscopic gastrostomy tube placement [7][8][9]. Based on EUS-GE outcomes [4], the recently proposed EUS-guided transmural stenting for by-passing MIO seems a better endoscopic solution [10]. Few studies indeed suggested the feasibility of EUS-guided enterocolostomy (EUS-EC) [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic ultrasound-guided entero-colostomy with lumen-apposing metal stent as a rescue treatment for malignant intestinal occlusion: a multicenter study

Neri,

Stigliano,

Biasutto

et al. 2024

Endoscopy

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Background and study aims: Surgery is the first-choice treatment for malignant intestinal obstruction (MIO), however many patients are deemed unfit for surgery. Endoscopic ultrasound guided enterocolostomy (EUS-EC) with lumen apposing metal stents (LAMS) could represent a new treatment option. Primary aim was technical success of EUS-EC. Secondary aims: clinical outcome, safety, hospital stay. Patients and methods: Consecutive patients undergoing EUS-EC for MIO from November 2021 to September 2023 were retrospectively enrolled at four tertiary referral European centres. All cases were discussed in multidisciplinary meetings, patients declared unfit for surgery, colonic stent placement or refused surgery. Results: Twelve patients were enrolled (58.3% female, median age 72.5 [42-85]). Colonic adenocarcinoma was the primary tumor in 75% of cases and 91.7% of patients had a Stage IV disease. Technical success was achieved in all procedures (100%). No LAMS misdeployment or other procedural adverse events and 3 (25%) severe post-procedural complications were observed. Clinical success was achieved in 10 (83.3%) patients, 5 (50%) resuming chemotherapy after procedure. Median post-procedural hospital stay was 9[1-20] days and overall median survival was 47.5[2-270] days. Conclusions: EUS-EC is a feasible technique and could be considered as a possible alternative to standard approaches for MIO in highly selected patients.

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EUS-guided enterocolostomy for palliation of malignant distal small-bowel obstruction

Cited by 8 publications

References 0 publications

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

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

Therapeutic endoscopic ultrasound

Endoscopic ultrasound-guided entero-colostomy with lumen-apposing metal stent as a rescue treatment for malignant intestinal occlusion: a multicenter study

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