EUS-guided enterocolostomy with lumen-apposing metal stents for palliative management of malignant bowel obstruction: a systematic review and meta-analysis.

ABSTRACT:

Background

Malignant bowel obstruction (MBO) is a frequent and debilitating complication in advanced abdominal cancers, particularly ovarian, colorectal, and gastric malignancies associated with peritoneal carcinomatosis. Surgery is often not feasible, and conventional decompression carries substantial morbidity. Endoscopic ultrasound-guided enterocolostomy (EUS-EC) with lumen-apposing metal stents (LAMS) has emerged as a minimally invasive alternative, but the evidence remains limited.

Objectives

To systematically evaluate the feasibility, safety, and clinical outcomes of EUS-EC with LAMS for the palliation of MBO.

Design

Systematic review and meta-analysis.

Methods

A comprehensive literature search was performed across PubMed, Embase, Cochrane Library, and We

SUBMITTER: Shahzil M 

PROVIDER: S-EPMC12739100 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature