Clinical Endoscopy

Small Bowel Stent-in-Stent Placement for Malignant Small Bowel Obstruction Using a Balloon-Assisted Overtube Technique: Daniel Popa, Jayapal Ramesh, Shajan Peter, C. Mel Wilcox, Klaus Mönkemüller; Clin Endosc 2014;47(1):108-111. Published online January 24, 2014; DOI: https://doi.org/10.5946/ce.2014.47.1.108

Self-expanding metal stents are a useful therapy to palliate malignant and benign luminal gastrointestinal obstruction. Self-expanding metal stents has been widely reported for colonic, esophageal, and gastric obstruction. However, endoscopic delivery and placement to the small bowel is more challenging and difficult. This case illustrates the usefulness and technical advantages of the balloon-overtube and enteroscopy technique for the palliative treatment of neoplastic stenosis affecting the small intestine.

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The evolving role of device-assisted enteroscopy: The state of the art as of August 2023
Hironori Yamamoto, Edward J. Despott, Begoña González-Suárez, Marco Pennazio, Klaus Mönkemüller
Best Practice & Research Clinical Gastroenterology.2023; 64-65: 101858. CrossRef
WITHDRAWN: The evolving role of device-assisted enteroscopy
Hironori Yamamoto, Begoña González-Suárez, Klaus Mönkemüller
Best Practice & Research Clinical Gastroenterology.2023; : 101845. CrossRef
The Evolution of Device-Assisted Enteroscopy: From Sonde Enteroscopy to Motorized Spiral Enteroscopy
Fredy Nehme, Hemant Goyal, Abhilash Perisetti, Benjamin Tharian, Neil Sharma, Tony C. Tham, Rajiv Chhabra
Frontiers in Medicine.2021;[Epub] CrossRef
Small bowel enteroscopy � A joint clinical guideline by the Spanish and Portuguese small-bowel study groups
Enrique Pérez-Cuadrado Robles, Rolando Pinho, Begoña González-Suárez, Susana M�o-de-Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García-Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, José Fran
Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef
Small Bowel Enteroscopy – A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups
Enrique Pérez-Cuadrado-Robles, Rolando Pinho, Begoña Gonzalez, Susana Mão de Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, Jose Francisco J
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Update in enteroscopy: New devices and new indications
Tom G. Moreels
Digestive Endoscopy.2018; 30(2): 174. CrossRef
Metal Stent Placement in the Afferent Loop Obstructed by Peritoneal Metastases—Experience of Five Cases
Yoshihide Kanno, Tetsuya Ohira, Yoshihiro Harada, Yoshiki Koike, Taku Yamagata, Megumi Tanaka, Tomohiro Shimada, Kei Ito
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How to treat intestinal obstruction due to malignant recurrence after Whipple’s resection for pancreatic head cancer: Description of 2 new endoscopic techniques
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Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions
Akiyoshi Tsuboi, Toshio Kuwai, Tomoyuki Nishimura, Sumio Iio, Takeshi Mori, Hiroki Imagawa, Toshiki Yamaguchi, Atsushi Yamaguchi, Hirotaka Kouno, Hiroshi Kohno
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Small bowel intervention and application of enteroscopy for altered small bowel anatomy—endoscopic advanced therapy using double balloon enteroscopy
Masaaki Shimatani, Norimasa Fukata, Ryo Suzuki, Sachi Miyamoto, Kota Kato, Toshiyuki Mitsuyama, Hideaki Miyoshi, Tsukasa Ikeura, Makoto Takaoka, Kazuichi Okazaki
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Palliative enteroscopic stent placement for malignant mid-gut obstruction
Esha Baichoo, Louis M. Wong Kee Song
Gastrointestinal Intervention.2014; 3(1): 30. CrossRef

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Small Bowel Obstruction and Capsule Retention by a Small Bowel Ulcer That Was Not Found on Capsule Endoscopy: Kwan Sik Park, M.D., Ji Hyun Kim, M.D., Choong Heon Ryu, M.D., Hyo Rim Seo, M.D., Yun Jung Choi, M.D., Seoung In Ha, M.D., Sang Heon Lee, M.D. and Sang Young Seol, M.D.; Korean J Gastrointest Endosc 2010;40(1):58-61. Published online January 30, 2010

Abstract PDF: Capsule endoscopy (CE) is a valuable modality for directly examining the small bowel in a relatively noninvasive and safe manner. CE is being increasingly used for obscure gastrointestinal bleeding, Crohn's disease, drug induced ulcer and small bowel tumor. Although capsule retention is a relatively infrequent complication, small bowel obstruction and strictures have been considered contraindications to CE. But some authors have reported that capsule endoscopy can be safely used to help identify the etiology and site of small bowel obstruction, and the retention of the capsule indicates the presence of a lesion requiring surgery. We report here on a case of small bowel obstruction and capsule retention by a small bowel ulcer, and the small bowel ulcer was not found when performing capsule endoscopy. (Korean J Gastrointest Endosc 2010;40:58-61)

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A Case of Small Bowel Obstruction due to a Mushroom Bezoar: Song Yi Kim, M.D., Jae Woo Kim, M.D., Jin Hon Hong, M.D., Ki Won Jo, M.D., Hong Jun Park, M.D., Il Young Lee, M.D., Chang Jin Yea, M.D., Hyun Soo Kim, M.D.,Soon Koo Baik, M.D. and Mee Yon Cho, M.D.*; Korean J Gastrointest Endosc 2007;35(6):410-414. Published online December 30, 2007

Abstract PDF: A mushroom bezoar is an unusual type of bezoar and a rare cause of small bowel obstruction, with the only cases being previously described in the foreign literature. Common sites of obstruction are the gastric outlet, the terminal ileum as well as segments of pre-existing gastrointestinal stenosis of various etiologies. Predisposing factors include a high fiber intake, inadequate chewing, gastric hyposecretion and hypomotility, and a previous gastrectomy and vagotomy. Computed tomography has the capability of directly showing the bezoar and displaying the resulting small bowel obstruction. We report a case of incomplete small bowel obstruction in a 38-year-old woman, caused by a mushroom bezoar in the terminal ileum. (Korean J Gastrointest Endosc 2007;35:410-414)

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A Case of Small Bowel Obstruction due to Multiple Trichobezoars: Sang Won Park, M.D., Yun Sok Yang, M.D., Ho Sup Lee, M.D., Jyung Hyun Kim, M.D., Chang Goo Lee, M.D. and Jin Kwan Lee, M.D.; Korean J Gastrointest Endosc 2005;31(6):423-426. Published online December 30, 2005

Abstract PDF: Trichobezoars are gastric concretions that are composed of hair or fibers. They are more common in children and adolescents and are usually associated with a pica, emotional disturbance, or mental retardation. Trichobezoar is quite rare in Korea. In most cases, trichobezoars tend to form a cast of the stomach. However, in rare cases, portions of the trichobezoar may separate from the gastric mass, migrate distally, and obstruct the small bowel. We report a case of small bowel obstruction due to multiple trichobezoars in a 14 year-old-girl who had a habit of swallowing hairs until 12 years of age. The patient was treated successfully surgically. (Korean J Gastrointest Endosc 2005;31:423⁣426)

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증례 / 소장폐색을 일으킨 Phytobezoar 2예 ( Small Intestinal Obstruction due to Phytobezoars - Case reports - ): Korean J Gastrointest Endosc 2001;22(3):182-186. Published online November 30, 2000

Abstract PDF: Phytobezoars are the most common type of bezoars composed of nondigestible food material. They are usually formed in stomach and do not migrate to the other intestinal tract. Recently, we experienced two cases of small bowel phytobezoars resulting in obstruction. The first case is a 72-year-old male patient who had no previous history of surgery. He had poor dentition, and the history of eating dry persimmons 20 days before the onset of symptoms. The phytobezoar (4x3cm) obstructed the terminal ileum. Colonoscopic removal was performed successfully. The second case is a 45-year-old male patient undergone previous vagotomy and pyloroplasty for duodenal ulcer perforation. He had a huge phytobezoar (10 X 6 cm) in stornach, which was treated by endoscopic removal. After incomplete endoscopic treatment, it moved into the proximal jejunum and obstructed the lumen. It was removed by operation, (Korean J Gastrointest Endosc 2001;22:182 - 186)

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