Clear cap-assisted luminal stenting may improve technical success in gastroduodenal and colonic obstruction.
| Autor: | Fung BM; Department of Medicine, Olive View-UCLA Medical Center, Sylmar, California, United States., Chen FC; Department of Surgery, Olive View-UCLA Medical Center, Sylmar, California, United States., Tabibian JH; Division of Gastroenterology, Department of Medicine, Olive View-UCLA Medical Center, Sylmar, California, United States.; David Geffen School of Medicine at UCLA, Los Angeles, California, United States. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Endoscopy international open [Endosc Int Open] 2020 Oct; Vol. 8 (10), pp. E1429-E1434. Date of Electronic Publication: 2020 Sep 22. |
| DOI: | 10.1055/a-1229-4000 |
| Abstrakt: | Background Luminal stenting is safe, effective, and at times the preferred method for relieving gastrointestinal obstruction. However, stent placement is not technically feasible when lesions cannot be traversed with a guidewire, resulting in the need for more invasive methods of palliation and urgent/emergent surgical intervention. In this series, we report our experience with cap-assisted stenting to improve lumen visualization in obstructed segments of the gastrointestinal tract and salvage cases that may have otherwise resulted in technical failure. Methods A clear cap (i. e. distal attachment) was affixed to the scope tip to facilitate visualization and stenting in two cases of gastroduodenal obstruction and three cases of colonic obstruction. Indications for stent placement included malignant obstruction, diverticulitis-associated obstruction, and Crohn's disease-associated stricture. Results In this report, we demonstrate that use of a clear cap facilitated endoscopic stenting in challenging cases of malignant and benign gastroduodenal and colonic obstruction. Conclusions A clear cap for endoscopic stenting can be used in cases in which standard techniques are unsuccessful or those anticipated to be technically difficult at the outset. Cases with tortuous anatomy or particularly tight, friable, or exophytic obstructive lesions may benefit most from this novel technical modification. Competing Interests: Competing interests The authors declare that they have no conflict of interest. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|