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EUS Guided Enterocolostomy for the Palliation of Malignant Small Bowel Obstruction From a Cecal Adenocarcinoma

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Journal Gastro Hep Adv
Date 2025 Feb 3
PMID 39897112
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Abstract

Malignant bowel obstruction is a challenging complication in advanced gastrointestinal malignancies with varying treatment strategies including medical, surgical and endoscopic therapies, each with their own limitations. Endoscopic ultrasound-guided enterocolostomy has been previously reported as an option for patients who are not surgical candidates or ideal candidates for enteral stenting. In this case, endoscopic ultrasound-guided enterocolostomy is used for the palliation in a patient with a completely obstructing large cecal adenocarcinoma who declined surgical intervention.

References
1.
James T, Nakshabendi R, Baron T . EUS-guided ileocolonic anastomosis for relief of complete small-bowel obstruction. VideoGIE. 2020; 5(9):428-430. PMC: 7483714. DOI: 10.1016/j.vgie.2020.05.004. View

2.
Sooklal S, Kumar A . EUS-guided enterocolostomy for palliation of malignant distal small-bowel obstruction. VideoGIE. 2019; 4(11):530-531. PMC: 6835035. DOI: 10.1016/j.vgie.2019.07.015. View

3.
DeWitt J, Arain M, Chang K, Sharaiha R, Komanduri S, Muthusamy V . Interventional Endoscopic Ultrasound: Current Status and Future Directions. Clin Gastroenterol Hepatol. 2020; 19(1):24-40. DOI: 10.1016/j.cgh.2020.09.029. View

4.
Walter M, Hansen E, Hamid S, Carozza D, Mann G, Roche C . Palliative Management of Inoperable Malignant Bowel Obstruction: Prospective, Open Label, Phase 2 Study at an NCI Comprehensive Cancer Center. J Pain Symptom Manage. 2023; 67(1):20-26. DOI: 10.1016/j.jpainsymman.2023.09.014. View

5.
Westerveld D, Hajifathalian K, Carr-Locke D, Sampath K, Sharaiha R, Mahadev S . Endoscopic ultrasound-guided ileosigmoidostomy using a lumen-apposing metal stent for palliation of malignant small-bowel obstruction. VideoGIE. 2022; 7(3):109-111. PMC: 8917342. DOI: 10.1016/j.vgie.2021.12.007. View