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Volume 2, Issue 6, Pages 158-160 (June 2017) Salvage therapy for colonic mechanical obstruction with introducer-type colostomy and colopexy Georgios Mavrogenis, MD, Ioannis Tsevgas, MD, George Theodoropoulos, MD, PhD, Dimitrios Zachariadis, MD VideoGIE Volume 2, Issue 6, Pages 158-160 (June 2017) DOI: 10.1016/j.vgie.2017.01.012 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Distended abdomen as shown by clinical examination. VideoGIE 2017 2, 158-160DOI: (10.1016/j.vgie.2017.01.012) Copyright © 2017 The Authors Terms and Conditions

Figure 2 CT image showing a 7-cm long stricture of the neorectum. VideoGIE 2017 2, 158-160DOI: (10.1016/j.vgie.2017.01.012) Copyright © 2017 The Authors Terms and Conditions

Figure 3 CT image showing dilation of the transverse and left side of the colon up to 10 cm. VideoGIE 2017 2, 158-160DOI: (10.1016/j.vgie.2017.01.012) Copyright © 2017 The Authors Terms and Conditions

Figure 4 Endoscopic image of the stricture. VideoGIE 2017 2, 158-160DOI: (10.1016/j.vgie.2017.01.012) Copyright © 2017 The Authors Terms and Conditions

Figure 5 Double-needle device. The blue needle contains a snare. The needle with the yellow tip contains the suture. VideoGIE 2017 2, 158-160DOI: (10.1016/j.vgie.2017.01.012) Copyright © 2017 The Authors Terms and Conditions

Figure 6 Colopexy with the double-needle system. VideoGIE 2017 2, 158-160DOI: (10.1016/j.vgie.2017.01.012) Copyright © 2017 The Authors Terms and Conditions

Figure 7 Placement of a total of 4 sutures. VideoGIE 2017 2, 158-160DOI: (10.1016/j.vgie.2017.01.012) Copyright © 2017 The Authors Terms and Conditions

Figure 8 Advancement of a trocar with a peel-away sheath between the sutures. VideoGIE 2017 2, 158-160DOI: (10.1016/j.vgie.2017.01.012) Copyright © 2017 The Authors Terms and Conditions

Figure 9 Endoscopic image of the 15F tube. VideoGIE 2017 2, 158-160DOI: (10.1016/j.vgie.2017.01.012) Copyright © 2017 The Authors Terms and Conditions