The Great View Forward: The Use of a Colonoscope for Distal Duodenal Stent Placement.

Abstract:

INTRODUCTION:Stent placement in the distal duodenum can be difficult. We describe a case report of a 94-year-old man with metastatic pancreatic head cancer compressing the third and fourth portions of the duodenum, treated by endoscopic stent placement using a colonoscope. AREAS COVERED:A literature review highlighted two possible procedures for stent placement in the distal duodenum, namely forward-viewing and side-viewing endoscopies. Gastroscopes, duodenoscopes, enteroscopes, and colonoscopes have all been suggested for the purpose. For distal lesions, especially when the duodenal wall is stiffened due to compression or infiltration by neoplastic lesions, a conventional upper endoscope can be too short to reach the narrowed site in "push mode," necessitating the use of a longer endoscope. EXPERT COMMENTARY:A colonoscope can be safely and effectively used to accomplish distal duodenal stent placement.

journal_name

Dig Dis Sci

authors

Minervini A,Lauro A,Pagano N,Vaccari S,D'Andrea V,Marino IR,Cervellera M,Tonini V

doi

10.1007/s10620-019-05768-3

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

2445-2448

issue

9

eissn

0163-2116

issn

1573-2568

pii

10.1007/s10620-019-05768-3

journal_volume

64

pub_type

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