A simplified method for stent placement in the distal duodenum: Enteroscopy overtube

Espinel, Jesús; Pinedo, Eugenia

doi:10.4253/wjge.v3.i11.225

Cited by 17 publications

(11 citation statements)

References 5 publications

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“…In our case, we used an overtube as an extralarge working channel. Although a similar technique using spiral single-balloon enteroscopy and spiral enteroscopy was previously described,7-9 our case is of additional interest because we describe in detail all the steps necessary to perform a balloon overtube placement of a SEMS into the proximal small bowel. In addition, limited data are available on this technique 10…”

Section: Discussionmentioning

confidence: 97%

“…Malignant small bowel obstruction usually results from primary small bowel malignant neoplasm, invasive locoregional tumors or metastasis 1,6-9. SEMSs represent a potential palliative measure 6-9.…”

Section: Discussionmentioning

confidence: 99%

“…SEMSs represent a potential palliative measure 6-9. In an interesting study, Lee et al6 describe the usefulness of the DBE technique to advance a wire through malignant small bowel strictures to enable SEMS placement.…”

Section: Discussionmentioning

confidence: 99%

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Small Bowel Stent-in-Stent Placement for Malignant Small Bowel Obstruction Using a Balloon-Assisted Overtube Technique

et al. 2014

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Self-expanding metal stents are a useful therapy to palliate malignant and benign luminal gastrointestinal obstruction. Self-expanding metal stents has been widely reported for colonic, esophageal, and gastric obstruction. However, endoscopic delivery and placement to the small bowel is more challenging and difficult. This case illustrates the usefulness and technical advantages of the balloon-overtube and enteroscopy technique for the palliative treatment of neoplastic stenosis affecting the small intestine.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Small Bowel Stent-in-Stent Placement for Malignant Small Bowel Obstruction Using a Balloon-Assisted Overtube Technique

et al. 2014

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“…Data regarding this technique are currently limited to case reports and small series (Table 1). [13][14][15][16][17][18][19][20] The technique involves the use of the dedicated balloon-assisted or spiral overtubes as conduits for placement of esophageal or enteral SEMS through malignant mid-gut obstruction under fluoroscopic guidance (Fig. 2).…”

Section: Through-the-overtube Techniquementioning

confidence: 99%

Palliative enteroscopic stent placement for malignant mid-gut obstruction

Baichoo

Song

2014

Gastrointestinal Intervention

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a b s t r a c tPalliation of malignant small intestinal obstructions beyond the reach of conventional endoscopes for stent placement generally requires endoscopic decompression via a gastrostomy tube or a surgical bypass in patients who are operable candidates. With the advent of deep enteroscopy, palliative stent placement for mid-gut obstruction using currently available self-expandable metal stents may be feasible in selected cases. Proper patient selection and technical proficiency in deep enteroscopy and stent placement are key determinants for a successful outcome. Alternative means of stent delivery, including the percutaneous route, are also being developed, with the hope of expanding the use of stents in the mid small bowel beyond palliation.

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“…However, SEMS placement for malignant small bowel obstructions is little-known and also more challenging. A deep small bowel enteroscopy is limited, and three endoscopy systems are now available: [double balloon endoscopy (DBE), single balloon endoscopy, and spiral endoscopy[5-7]]; however, such endoscope systems do not have working channels large enough for the stent delivery systems to pass through. Therefore, the standard through-the-scope (TTS) technique for stent deployment could not be applied.…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions

Tsuboi¹,

Kuwai²,

Nishimura³

et al. 2016

WJG

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In this report, we present 3 cases of malignant small bowel obstruction, treated with palliative care using endoscopic self-expandable metallic stent (SEMS) placement, with the aim to identify the safety and efficacy of this procedure. Baseline patient characteristics, procedure methods, procedure time, technical and clinical success rates, complications, and patient outcomes were obtained. All 3 patients had pancreatic cancer with small bowel strictures. One patient received the SEMS using colonoscopy, while the other 2 patients received SEMS placement via double balloon endoscopy using the through-the-overtube technique. The median procedure time was 104 min. The technical and clinical success rates were 100%. Post-treatment, obstructive symptoms in all patients improved, and a low-residue diet could be tolerated. All stents remained within the patients until their deaths. The median overall survival time (stent patency time) was 76 d. SEMS placement is safe and effective as a palliative treatment for malignant small bowel obstruction.

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A simplified method for stent placement in the distal duodenum: Enteroscopy overtube

Cited by 17 publications

References 5 publications

Small Bowel Stent-in-Stent Placement for Malignant Small Bowel Obstruction Using a Balloon-Assisted Overtube Technique

Small Bowel Stent-in-Stent Placement for Malignant Small Bowel Obstruction Using a Balloon-Assisted Overtube Technique

Palliative enteroscopic stent placement for malignant mid-gut obstruction

Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions

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