Endosonography guided coloenterostomy for management of malignant small bowel ileus

#4599

Introduction: Small-bowel ileus (SBI) is often decisive for the prognosis in midgut neuroendocrine tumours (NET) and other peritoneally metastasised neoplasias. Conventional procedures of palliative care deliver unsatisfying results.

Aim(s): We aimed to resolve SBI by endosonographically establishing a colo-enterostomy (CE) and to investigate safety, technical and clinical success of the procedure and its impact on symptom control, Quality of life (QoL) and survival.

Materials and methods: There were 17 patients treated by CE: 5/17 (29.4%) had midgut neuroendocrine tumours, 5/17 (29.4%) ovarian carcinoma, 4/17 (23.5%) colorectal cancer and 3/17 (17.6%) other entities. Biometrics, imaging, technical and clinical data, symptoms, QoL, adverse events, oncologic treatment were recorded longitudinally at predefined time points and compared to a propensity score matched historical cohort (n=30) that was treated with percutaneous endoscopic gastrostomy (PEG) for the same indication.

Conference:

Presenting Author: Weich A

Authors: Weich A, Retzbach L, Hartung V, Brand M, Kudlich T,

Keywords: Coloenterostomy, Endosonography, small bowel ileus, peritoneal carcinomatosis, midgut NET,