In:
The Korean Journal of Medicine, Korean Association of Internal Medicine, Vol. 97, No. 3 ( 2022-06-01), p. 191-197
Abstract:
Recurrent or refractory small bowel obstruction in postsurgical patients with advanced malignancies poses therapeutic dilemmas. Although some promising results have been achieved as small bowel endoscopic techniques advanced, palliative stent placement is both challenging and complex. Endoscopic ultrasound (EUS)-guided anastomosis using a lumen-apposing metal stent has been recently used during gastroenterostomy to treat benign or malignant gastric outlet obstruction. Data on the outcomes of EUS-guided enterostomy in patients with recurrent small bowel obstruction are lacking, although the technique is applicable throughout the entire gastrointestinal tract. We recently encountered recurrent or refractory small bowel obstruction in two poor surgical candidates. For the first case, we performed EUS-guided enterostomy to treat a recurrent obstruction after conventional stent insertion. The second case underwent EUS-guided transenteric stent placement to treat refractory small bowel obstruction associated with diffuse peritoneal carcinomatosis after failure of a conventional “push” endoscopic procedure.
Type of Medium:
Online Resource
ISSN:
1738-9364
,
2289-0769
DOI:
10.3904/kjm.2022.97.3.191
Language:
English
Publisher:
Korean Association of Internal Medicine
Publication Date:
2022
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