2021
DOI: 10.1002/deo2.32
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Endoscopic removal of proximally migrated stents using a double‐balloon enteroscope in patients with bowel reconstruction (with video)

Abstract: Endoscopic migrated stent removal using a balloon‐assisted enteroscope is technically difficult in patients with bowel reconstruction. We report the treatment outcomes and endoscopic removal methods for migrated stents using a double‐balloon enteroscope (DBE). We retrospectively studied 12 patients with stent migration into the main pancreatic duct (MPD) or bile duct who underwent bowel reconstruction between January 2012 and June 2020. The successful removal rates in the MPD ( n = 3) an… Show more

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Cited by 3 publications
(4 citation statements)
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References 9 publications
(21 reference statements)
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“…However, with the development of the balloon enteroscope, it is now possible to perform balloon enteroscopy-assisted ERCP (BE-ERCP) in patients with SAA. 59,60 In a systematic review, the adverse event rate of BE-ERCP in patients with SAA was 3.4%, indicating that it is a less invasive drainage technique than percutaneous drainage or endoscopic ultrasound (EUS)guided drainage. 61 Furthermore, not only drainage but also treatment of bile duct stones and anastomotic stricture is possible in a single session.…”
Section: Emergency Ercp For Patients With Coagulopathy and Antithromb...mentioning
confidence: 99%
See 1 more Smart Citation
“…However, with the development of the balloon enteroscope, it is now possible to perform balloon enteroscopy-assisted ERCP (BE-ERCP) in patients with SAA. 59,60 In a systematic review, the adverse event rate of BE-ERCP in patients with SAA was 3.4%, indicating that it is a less invasive drainage technique than percutaneous drainage or endoscopic ultrasound (EUS)guided drainage. 61 Furthermore, not only drainage but also treatment of bile duct stones and anastomotic stricture is possible in a single session.…”
Section: Emergency Ercp For Patients With Coagulopathy and Antithromb...mentioning
confidence: 99%
“…In patients with surgically altered anatomy (SAA), such as after Roux‐en‐Y reconstruction, it is difficult to perform standard ERCP using a duodenoscope. However, with the development of the balloon enteroscope, it is now possible to perform balloon enteroscopy‐assisted ERCP (BE‐ERCP) in patients with SAA 59,60 . In a systematic review, the adverse event rate of BE‐ERCP in patients with SAA was 3.4%, indicating that it is a less invasive drainage technique than percutaneous drainage or endoscopic ultrasound (EUS)‐guided drainage 61 .…”
Section: Ercp For Acute Cholangitismentioning
confidence: 99%
“…Currently, surgery (laparoscopic or laparotomic) remains the therapeutic option of choice in cases of migration and obstruction in the small intestine, although cases of extraction using endoscopic methods have been described. 15 …”
Section: Discussionmentioning
confidence: 99%
“…DBE‐ERCP is still challenging to perform in patients with pancreatic disease after pancreatoduodenectomy 4,5 . However, the novel guide sheath system helps stabilize the endoscope and easily insert the endoscopic instruments into the target site, even if the endoscope is positioned tangentially to the stenotic pancreaticojejunal anastomosis.…”
Section: Brief Explanationmentioning
confidence: 99%