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Palliative treatment of malignant intestinal obstruction with EUS-guided ileosigmoidostomy - a case report. | LitMetric

AI Article Synopsis

  • A 70-year-old Caucasian man with advanced colorectal cancer developed a complete obstruction in his small intestine six months after getting a diverting ileostomy.
  • He was not eligible for surgery due to previous tumor perforation, so doctors used an endoscopic ultrasound-guided technique to create a new passage in the intestines.
  • The procedure was successful, allowing the patient to resume oral nutrition the following day and leave the hospital in better health after three days.

Article Abstract

We present the case of a 70-year-old patient of Caucasian origin under palliative chemotherapy for metastasized colorectal cancer, who presented with signs of complete small bowel obstruction six months after placement of a diverting ileostomy. Following previous tumor perforation, he was not considered a candidate for further surgical intervention.Thus, endoscopic ultrasound-guided enterocolostomy (i.e., ileosigmoidostomy) with a lumen-apposing metal stent was successfully performed in a coloenteric approach to restore the passage.Oral nutrition could be resumed the next day, and the patient could be discharged in substantially improved condition after three days.

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Source
http://dx.doi.org/10.1055/a-2452-4337DOI Listing

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