ArticleACG case reports journal2026
Endoscopic Creation of an Internal Enterocolonic Fistula for a Noncommunicating Bowel Loop: A Novel Minimally Invasive Approach.
Article in ACG case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A 62-year-old woman with long-standing short bowel syndrome on chronic total parenteral nutrition and multiple abdominal surgeries presented with acute on chronic abdominal pain and sepsis. Imaging revealed a disconnected, dilated small bowel segment in the right lower quadrant, consistent with a so-called orphaned bowel loop. Given surgical risk, she underwent a transrectal endoscopic ultrasound-guided enterocolostomy with successful creation of a coloenteric anastomosis using a 20-mm lumen-apposing metal stent. The noncommunicating bowel decompressed completely, and she achieved full symptom resolution. Follow-up endoscopy demonstrated spontaneous maturation of an internal enterocolonic fistula. This case highlights a novel, minimally invasive approach for managing noncommunicating bowel in complex surgical patients.
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