Tsutsumi K, Kato H, Sakakihara I, Yamamoto N, Noma Y, Horiguchi S, Harada R, Okada H, Yamamoto K. Dilation of a severe bilioenteric or pancreatoenteric anastomotic stricture using a Soehendra Stent Retriever. World J Gastrointest Endosc 2013; 5(8): 412-416 [PMID: 23951398 DOI: 10.4253/wjge.v5.i8.412]
Corresponding Author of This Article
Koichiro Tsutsumi, MD, PhD, Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama-city, Okayama 700-8558, Japan. tsutsumi@cc.okayama-u.ac.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Koichiro Tsutsumi, Hironari Kato, Ichiro Sakakihara, Naoki Yamamoto, Yasuhiro Noma, Shigeru Horiguchi, Ryo Harada, Kazuhide Yamamoto, Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan
Hiroyuki Okada, Department of Endoscopy, Okayama University Hospital, Okayama 700-8558, Japan
Author contributions: Tsutsumi K, Kato H, Sakakihara I, Yamamoto N, Noma Y, Horiguchi S and Harada R designed the research; Okada H and Yamamoto K finally approved the paper; Tsutsumi K wrote the paper.
Correspondence to: Koichiro Tsutsumi, MD, PhD, Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama-city, Okayama 700-8558, Japan. tsutsumi@cc.okayama-u.ac.jp
Telephone: +81-86-2357219 Fax: +81-86-2255991
Received: June 4, 2013 Revised: July 7, 2013 Accepted: July 17, 2013 Published online: August 16, 2013
Abstract
Bilioenteric or pancreatoenteric anastomotic strictures often occur after surgery for a pancreaticobiliary disorder. Therapeutic endoscopic retrograde cholangiopancreatography using balloon enteroscopy has been shown to be feasible and effective in patients with such strictures. However, when a benign anastomotic stricture is severe, a dilation catheter cannot pass through the stricture despite successful insertion of the guidewire. We report on the usefulness of the Soehendra Stent Retriever over a guidewire for dilating a severe bilioenteric or pancreatoenteric anastomotic stricture under short double-balloon enteroscopy, in two patients with surgically altered anatomies.
Core tip: The Soehendra Stent Retriever can be useful for the dilation of severe, tight bilioenteric or pancreatoenteric anastomotic strictures over a guidewire, and it is available for endoscopic dilation even under short double-balloon enteroscopy for patients with surgically altered anatomies.
