To describe the successful application of the EyeMax system in enteral stent placement for malignant bowel obstruction, addressing the challenges of guidewire placement.
Approach:
Case Presentation: A 39-year-old woman with sigmoid colon adenocarcinoma and intestinal obstruction underwent endoscopic stent placement using the EyeMax system for direct visualization.
Procedure Details: The EyeMax system was advanced through the stenotic segment, allowing guidewire placement and deployment of a self-expandable metallic stent without fluoroscopy.
Key Findings:
The EyeMax system enabled real-time visualization, facilitating accurate guidewire placement.
The procedure resulted in immediate symptom relief, with the patient resuming normal bowel function.
One month post-stent placement, the patient underwent successful radical resection for sigmoid colon cancer without complications.
Interpretation:
The findings suggest that the EyeMax system may improve procedural safety and efficacy in complex colorectal strictures.
Limitations:
The application of the EyeMax system in colorectal stent placement has rarely been reported, limiting generalizability.
The case study is limited to a single patient experience.
Conclusion:
The EyeMax system provides a novel approach for stent placement in malignant bowel obstruction, potentially enhancing procedural safety.