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World J Gastrointest Endosc. Nov 16, 2011; 3(11): 225-227
Published online Nov 16, 2011. doi: 10.4253/wjge.v3.i11.225
Published online Nov 16, 2011. doi: 10.4253/wjge.v3.i11.225
A simplified method for stent placement in the distal duodenum: Enteroscopy overtube
Jesús Espinel, Endoscopy Unit, Department of Gastroenterology, Leon Hospital, Leon 24071, Spain
Eugenia Pinedo, Department of Radiology, Leon Hospital, Leon 24071, Spain
Author contributions: All authors contribute equally to the paper; Pinedo E oversaw the content.
Correspondence to: Jesús Espinel, MD, Endoscopy Unit, Department of Gastroenterology, Leon Hospital, Leon 24071, Spain. espinel.jesus@gmail.com
Telephone: +34-987-237400 Fax: +34-987-233322
Received: February 18, 2011
Revised: July 20, 2011
Accepted: October 15, 2011
Published online: November 16, 2011
Revised: July 20, 2011
Accepted: October 15, 2011
Published online: November 16, 2011
Abstract
The treatment of choice for patients with unresectable neoplastic obstruction of the small intestine is the placement of expandable metal stents. However, endoscopic delivery from the distal duodenum can be more difficult. This case, shows the usefulness and technical advantages of the overtube and single balloon enteroscopy in the treatment of neoplastic stenosis affecting the small intestine.
Keywords: Neoplastic obstruction, Small intestine, Neoplasm of the pancreas, Enteral stent, Enteroscopy, Single balloon enteroscope, Overtube