Endoscopic ultrasound-guided colocolostomy for malignant transverse colon obstruction after failure of enteral stenting

Developments in therapeutic endoscopic ultrasound (EUS) have allowed the endoscopic creation of gastrointestinal anastomoses for gastric outlet obstruction [1] [2]. However, this approach is rarely performed for the lower gastrointestinal tract because of the technical challenge of EUS-guided colocolostomy. Herein, we describe EUS-guided colocolostomy in a patient with malignant obstruction affecting a long segment of the transverse colon after failure of enteral stenting.