Ultrathin Endoscope-Assisted Method for the Management of Upper Gastrointestinal Obstruction to Avoid Technical Failure
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background/Aims: Endoscopic management of upper gastrointestinal obstruction is safe and feasible. However, its technical and clinical success rate is about 90%, which is primarily due to inability to pass a guide-wire through the stricture. The aim of this study was to evaluate the usefulness of an ultrathin endoscope for correct placement of guide wire to avoid technical failure in upper gastrointestinal obstruction. Methods: Retrospective assessment of ultrathin endoscope to traverse the stenosis of the upper gastrointestinal tract in technically difficult cases was performed. Technical and clinical success rates and immediate complications were analyzed. Results: Nine cases were included in this study (eight cases of stent insertion and one case of balloon dilatation). Technical success was achieved in all of the patients (100%) and oral feeding was feasible in all of the cases (100%). Immediate complications, such as migration, perforation and hemorrhage, did not develop in any of the cases. Conclusions: Ultrathin endoscope-assisted method for upper gastrointestinal obstruction is potentially safe and useful to avoid technical failure.
Abstract
Background/Aims: Endoscopic management of upper gastrointestinal obstruction is safe and feasible. However, its technical and clinical success rate is about 90%, which is primarily due to inability to pass a guide-wire through the stricture. The aim of this study was to evaluate the usefulness of an ultrathin endoscope for correct placement of guide wire to avoid technical failure in upper gastrointestinal obstruction. Methods: Retrospective assessment of ultrathin endoscope to traverse the stenosis of the upper gastrointestinal tract in technically difficult cases was performed. Technical and clinical success rates and immediate complications were analyzed. Results: Nine cases were included in this study (eight cases of stent insertion and one case of balloon dilatation). Technical success was achieved in all of the patients (100%) and oral feeding was feasible in all of the cases (100%). Immediate complications, such as migration, perforation and hemorrhage, did not develop in any of the cases. Conclusions: Ultrathin endoscope-assisted method for upper gastrointestinal obstruction is potentially safe and useful to avoid technical failure.
참고문헌 (13)
- Dormann A, "Self-expanding metal stents for gastroduodenal malignancies: systematic review of their clinical effectiveness", Endoscopy, 36, pp.543~550 (2004)
- Dumortier J, "Prospective evaluation of transnasal esophagogastroduodenoscopy: feasibility and study on performance and tolerance", Gastrointest Endosc, 49(3 Pt 1), pp.285~291 (1999)
- Lustberg AM, "A pilot study of transnasal percutaneous endoscopic gastrostomy", Am J Gastroenterol, 97, pp.1273~1274 (2002)
- García-Cano J., "Use of an ultrathin gastroscope to allow endoscopic insertion of enteral wallstents without fluoroscopic monitoring", Dig Dis Sci, 51, pp.1231~1235 (2006)
- Vlavianos P, "Clinical outcomes, quality of life, advantages and disadvantages of metal stent placement in the upper gastrointestinal tract", Curr Opin Support Palliat Care, 6, pp.27~32 (2012)
- Cennamo V, "Side-viewing endoscope for colonic self-expandable metal stenting in patients with malignant colonic obstruction", Eur J Gastroenterol Hepatol, 21, pp.585~586 (2009)
- Vázquez-Iglesias JL, "Self-expandable stents in malignant colonic obstruction: insertion assisted with a sphincterotome in technically difficult cases", Gastrointest Endosc, 62, pp.436~437 (2005)
- Mulcahy HE, "Ultrathin endoscopy in the assessment and treatment of upper and lower gastrointestinal tract strictures", Gastrointest Endosc, 48, pp.618~620 (1998)
- Itoi T, "Ultrathin endoscope-assisted ERCP for inaccessible peridiverticular papilla by a single-balloon enteroscope in a patient with Roux-en-Y anastomosis", Dig Endosc, 22, pp.334~336 (2010)
- Krishna SG, "Direct pancreatoscopy with an ultrathin forward-viewing endoscope in intraductal papillary mucinous neoplasm of the pancreas", Clin Gastroenterol Hepatol, 7, pp.e75~e76 (2009)
- Yan SL, "Successful biliary stenting and sphincterotomy using an ultrathin forward-viewing endoscope", Endoscopy, 41(Suppl 2), pp.E59~E60 (2009)
- Aydinli M, "Ultrathin endoscopy for gastrointestinal strictures", Dig Endosc, 24, pp.150~153 (2012)
- García-Cano J, "Treatment of malignant colorectal obstruction by means of endoscopic insertion of self-expandable metallic stents", An Med Interna, 20, pp.515~520 (2003)