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

Popa, Daniel; Ramesh, Jayapal; Peter, Shajan; Wilcox, C. Mel; Mönkemüller, Klaus

doi:10.5946/ce.2014.47.1.108

Cited by 17 publications

(8 citation statements)

References 10 publications

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“…The key to this technique is the ability to reach the stricture and lock the overtube in position at the location; this provides a sheath through which the stent could easily pass the stricture and be deployed. Although this technique can potentially treat deeper malignant small bowel obstructions, the few case reports that are available have only used this technique in the distal duodenum, proximal jejunum, or surgically-reconstructed intestines[5,6,11-14]. To the best of our knowledge, case 3 of our study is the first case of SEMS placement in a malignant distal small bowel obstruction.…”

Section: Discussionmentioning

confidence: 87%

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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Section: Discussionmentioning

confidence: 87%

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

Tsuboi¹,

Kuwai²,

Nishimura³

et al. 2016

WJG

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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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“…DAE has also been used for therapy: retrieval of potentially harmful foreign bodies, especially retained CE [125], but also bezoars [126], needles [127], coins [128], gastric bands [129], dentures [130] and migrated stents [131]. Many SB strictures secondaries to NSAIDs, radiation, surgical anastomosis, or malignancy have been treated with balloon dilation [76,132,133] or stenting, using both over-the-wire or through-the-scope techniques [134][135][136]. DAE can also be used for percutaneous endoscopic jejunostomy [137] and SB intussusception [138].…”

Section: Miscelaneousmentioning

confidence: 99%

Small Bowel Enteroscopy – A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups

Pérez-Cuadrado-Robles

Pinho

González

et al. 2020

GE Port J Gastroenterol

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The present evidence-based guidelines are focused on the use of device-assisted enteroscopy in the management of small-bowel diseases. A panel of experts selected by the Spanish and Portuguese small bowel study groups reviewed the available evidence focusing on the main indications of this technique, its role in the management algorithm of each indication and on its diagnostic and therapeutic yields. A set of recommendations were issued accordingly.

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

Cited by 17 publications

References 10 publications

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

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

Palliative enteroscopic stent placement for malignant mid-gut obstruction

Small Bowel Enteroscopy – A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups

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