Commentary

The use of lumen-apposing metal stents (LAMSs) has become more effective and widespread in complex situations, to solve challenging cases in the gastrointestinal tract. Endoscopic ultrasound (EUS)-guided gastrojejunal anastomosis is, nowadays, a well-established procedure [1] and application of its “retrograde variant” is currently spreading [2] [3], although the indications are actually limited (e.g. peritoneal carcinomatosis). In a complex and challenging situation in a patient with a benign ileal stricture and an enterocutaneous fistula, Gupta et al. illustrated how an endoscopic treatment with the creation of an EUS-guided enteroenteral anastomosis could solve the problem. The remaining big issue is the timing of the removal of the LAMS, because actually published case reports or small series involve only oncological cases.

Publikationsverlauf

Artikel online veröffentlicht:
26. Februar 2025

• References

• 1 Fugazza A, Andreozzi M, Binda C. et al. Palliation of gastric outlet obstruction in case of biliary obstruction – a retrospective, multicenter study: the B-GOOD study. Cancers (Basel) 2024; 16: 3375
• 2 Neri B, Stigliano S, Biasutto D. et al. Endoscopic ultrasound-guided entero-colostomy with lumen-apposing metal stent as a rescue treatment for malignant intestinal occlusion: a multicenter study. Endoscopy 2025; 57: 77-82
• 3 Paduano D, Auriemma F, Lamonaca L. et al. EUS-guided ileal-ascending colon anastomosis as an alternative to surgical stoma in the palliation of the cecal cancer invading the ileocecal valve. VideoGIE 2022; 7: 460-461