EUS-guided ileocolonic anastomosis for relief of complete small-bowel obstruction

Small-bowel obstruction (SBO) is typically managed with gastric decompression and intravenous hydration; however, when conservative management fails, operative management is necessary.1 In cases of extrinsic compression from adhesive disease, laparotomy with lysis of adhesions is often required.2 Patients with high-grade obstruction who do not proceed to operative management are at risk for bowel perforation and septic shock from peritonitis.3 However, many patients either fail operative management or are not candidates for surgery because of comorbidities.