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

Zundler S, Wolff K, Leppkes M, Gaza A, Haberkamp S, Strobel D, Siebler J, Neurath M, Waldner M (2024)

Publication Type: Journal article

Publication year: 2024

Journal

Zeitschrift für Gastroenterologie Georg Thieme Verlag

DOI: 10.1055/a-2452-4337

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.

Authors with CRIS profile

Sebastian Zundler Department of Medicine 1 – Gastroenterology, Pneumology and Endocrinology Moritz Leppkes Department of Medicine 1 – Gastroenterology, Pneumology and Endocrinology Anne Gaza Medizinische Fakultät Sophie Haberkamp Department of Medicine 1 – Gastroenterology, Pneumology and Endocrinology Deike Strobel Medizinische Fakultät Jürgen Siebler Professur für Hepatologie Markus Neurath Lehrstuhl für Innere Medizin I (Medizin 1) Maximilian Waldner Lehrstuhl für Innere Medizin I (Medizin 1)

How to cite

APA:

Zundler, S., Wolff, K., Leppkes, M., Gaza, A., Haberkamp, S., Strobel, D.,... Waldner, M. (2024). Palliative treatment of malignant intestinal obstruction with EUS-guided ileosigmoidostomy – a case report. Zeitschrift für Gastroenterologie. https://doi.org/10.1055/a-2452-4337

MLA:

Zundler, Sebastian, et al. "Palliative treatment of malignant intestinal obstruction with EUS-guided ileosigmoidostomy – a case report." Zeitschrift für Gastroenterologie (2024).

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