Simultaneous passage of ultra-slim colonoscope and colonic stent catheter across left-sided colonic stent for placement of a hepatic flexure stent for malignant large-bowel obstruction

摘要

A 74-year-old man with metastatic gastric cancer withcarcinomatosis who was receiving palliative chemotherapypresented with nausea, vomiting, and abdominal distension. CT of the abdomen showed distended loops of thesmall bowel, cecum, and ascending colon with a transitionpoint at the hepatic flexure that raised concern for largebowel obstruction (Fig. 1A). A nonsurgical endoscopicapproach was preferred by the patient after a discussionof management options.