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Create a Free AccountAnatomy - Colorectal
Palliation of malignant distal colonic obstruction via percutaneous endoscopic colostomy using a lumen-apposing metal stent
Colonic stents have improved emergent and palliative management of large bowel obstruction; however, the risk of stent malfunction and reintervention remains.1 We describe the first percutaneous endoscopic colostomy using a lumen-apposing metal stent (LAMS).EUS-guided ileocolonic anastomosis for relief of complete small-bowel obstruction
Small-bowel obstruction (SBO) is typically managed with gastric decompression and intravenous hydration; however, when conservative management fails, operative management is necessary.1 In cases of extrinsic compression from adhesive disease, laparotomy with lysis of adhesions is often required.2 Patients with high-grade obstruction who do not proceed to operative management are at risk for bowel perforation and septic shock from peritonitis.3 However, many patients either fail operative management or are not candidates for surgery because of comorbidities.
