Gut Liver.  2017 Mar;11(2):306-311. 10.5009/gnl16441.

Impact of a Newly Developed Short Double-Balloon Enteroscope on Stent Placement in Patients with Surgically Altered Anatomies

• Tsutsumi K
• Kato H
• Okada H

• KMID: 2412199
• DOI: http://doi.org/10.5009/gnl16441

Abstract

A newly developed short double-balloon enteroscope with a working channel enlarged to a diameter of 3.2 mm is a novel innovation in stent placement for patients with surgically altered anatomies. Herein, we report three patients in whom this new scope contributed to an efficient technique and ideal treatment. In the first case, the double guidewire technique was efficient and effective for multiple stent placements. In the second case, covered self-expandable metal stent (SEMS) placement, which is the standard treatment for malignant biliary obstruction, could be performed in a technologically sound and safe manner. In the third case, SEMS placement was performed as palliative treatment for malignant afferent-loop obstruction; this procedure could be performed soundly and safely using the through-the-scope technique. The wider working channel of this new scope also facilitates a smoother accessory insertion and high suction performance, which reduces procedure time and stress on endoscopists. Furthermore, this new scope, which has advanced force transmission, adaptive bending, and a smaller turning radius, is expected to be highly successful in both diagnosis and therapy for various digestive diseases in patients with surgically altered anatomies.

Keyword

Double-balloon enteroscopy; Cholangiopancreatography, endoscopic retrograde; Stents; Gastric outlet obstruction; Technology

MeSH Terms

Adult
Aged
Digestive System Abnormalities/etiology/*surgery
Double-Balloon Enteroscopy/*instrumentation/methods
*Endoscopes, Gastrointestinal
Equipment Design
Female
Humans
Male
Middle Aged
Prosthesis Implantation/*instrumentation/methods
*Stents
Treatment Outcome