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

Journal: Zeitschrift Fur Gastroenterologie
Published:
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.

Relevant Conditions

Ileostomy, Colorectal Cancer