Endoscopic ultrasonography-guided enterocolon anastomosis in patients with malignant bowel obstruction:analysis of its clinical efficacy and safety
10.3969/j.issn.1008-794X.2025.04.006
- VernacularTitle:超声内镜引导下结肠-小肠吻合术治疗恶性肠梗阻患者效果和安全性分析
- Author:
Chunyan JIN
1
;
Hua YANG
;
Qin YIN
;
Mengyun HU
;
Muhan NI
;
Shanshan SHEN
;
Lei WANG
Author Information
1. 210008 江苏南京 南京大学医学院附属鼓楼医院消化内科
- Keywords:
intestinal obstruction;
tumor;
endoscopic ultrasonography;
enterocolon anastomosis;
curative effect;
complication
- From:
Journal of Interventional Radiology
2025;34(4):375-379
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy and safety of endoscopic ultrasonography-guided(EUS-guided)enterocolon anastomosis in treating patients with malignant bowel obstruction(MBO).Methods The clinical data of 12 patients with MBO,who underwent EUS-guided enterocolon anastomosis at the Nanjing Drum Tower Hospital of China from April 2023 to December 2023,were collected.The perioperative clinical efficacy and safety were retrospectively analyzed.Results Successful EUS-guided enterocolon anastomosis was accomplished in all the 12 patients,with a technical success rate of 100％(12/12).The clinical success rate was 83.3％(11/12),one patient developed obstruction of the stent.The clinical symptoms were relieved in 2-68 hours after treatment,and the time to resume defecation and exhaust was(18.02±15.75)hours.Within one week after the operation,4 patients took liquid diet and 8 patients took semi-fluid diet.Each dimension score of the Quality of Life Core-30 scale of The European Organization for Research and Treatment of Cancer(EORTC QLQ-C30)was remarkably improved,the patient's overall health score was increased from preoperative median 5 points to postoperative 8 points(P＜0.001).During the operation,stent displacement occurred in 2 patients,and the operation was successfully completed after promptly taking remedial measures.After operation,11 patients developed fever(37.5-39.4 ℃),and all the patients were discharged smoothly after symptomatic treatment.No complication such as bleeding,perforation,or stent displacement occurred.Conclusion EUS-guided enterocolon anastomosis is clinically safe and effective,it can effectively relieve the clinical symptoms and improve the quality of life of patients with MBO.
