scholarly journals Successful Removal of a Biliary Stent in the Jejunum Using Double-Balloon Enteroscopy

2020 ◽  
Vol 9 ◽  
pp. 1809
Author(s):  
Arash Dooghaie Moghadam ◽  
Niloofar Razavi-Khorasani ◽  
Pegah Eslami ◽  
Sandra Saeedi ◽  
Ermia Farokhi ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Stent Placement ◽  
Previous History ◽  
Stent Migration ◽  
Medical Intervention ◽  
Biliary Stent ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Double Balloon ◽  
Safe Approach

Background: Plastic biliary stent placement has been widely used as a safe approach for the management of hilar neoplasms or the dilation of benign biliary obstruction. Despite the complexity of this procedure, this approach is followed by a few complications. The incidence rate of stent migration is about 10%. In a majority of cases, the migrated stents are retained within the gastrointestinal tract and pass through the intestine with no complication or need for medical intervention. Case Report: In this paper, we described the case of the migrated biliary stent with prolonged abdominal pain, which was removed successfully by using double-balloon. Conclusion: In the case of patient with prolonged abdominal pain and previous history of biliary stent placement, migration of stent should be considered as differential diagnosis and Double-Balloon Enteroscopy can be a safe approach in those cases.[GMJ.2020;9:e1809]

scholarly journals ANALYSIS OF DOUBLE BALLOON ENTEROSCOPY: INDICATIONS, FINDINGS, THERAPEUTIC AND COMPLICATIONS

2017 ◽  
Vol 30 (2) ◽  
pp. 83-87 ◽  
Author(s):  
Flávio Heuta IVANO ◽  
Izabela Rodrigues VILLELA ◽  
Lívia Fouani de MIRANDA ◽  
Thaísa Sami NAKADOMARI
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Gastrointestinal Bleeding ◽  
Aim Analysis ◽  
Double Balloon Enteroscopy ◽  
Important Method ◽  
Balloon Enteroscopy ◽  
Double Balloon ◽  
Therapeutic Procedures ◽  
The Mean

ABSTRACT Background: The double balloon enteroscopy is an important method for the endoscopic approach of the small bowel that provides diagnosis and therapy of this segment’s disorders, with low complication rate. Aim: Analysis of patients undergoing double balloon enteroscopy. The specific objectives were to establish the indications for this method, evaluate the findings by the double balloon enteroscopy, analyze the therapeutic options and the complications of the procedure. Methods: It is a retrospective analysis of 65 patients who underwent double balloon enteroscopy. Results: Sixty-five procedures were performed in 50 patients, 63.1% were women and 36.9% were men. The mean age was 50.94 years. The main indication it was gastrointestinal bleeding, followed by abdominal pain and Crohn’s disease. Most procedures were considered normal. Polyps were the most prevalent finding, followed by angioectasias and duodenitis. In 49.2% of the cases, one or more therapeutic procedures were performed, (biopsy was the most prevalent). There was only one case of acute pancreatitis, which was treated clinically. Conclusion: The enteroscopy is good and safe method for the evaluation of the small bowel, and its main indications are gastrointestinal bleeding and abdominal pain. It has low complications rates and reduces the necessity of surgery.

scholarly journals Double balloon enteroscopy: Bangladesh experience

2014 ◽  
Vol 39 (3) ◽  
pp. 116-119 ◽  
Author(s):  
NC Nath ◽  
SC Dhar ◽  
AFMH Uddin ◽  
BC Shil ◽  
RK Banik ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Chronic Diarrhea ◽  
Chronic Abdominal Pain ◽  
Gi Bleeding ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Double Balloon

Double balloon enteroscopy (DBE) is a newly developed endoscopic modality for diagnosis and treatment of small bowel disorders. The aim of this study was to evaluate the diagnostic and therapeutic impact of DBE in patient with suspected small bowel disease. This was a prospective study. Sixty one double balloon enteroscopy procedures (30 antegrade 31 retrograde) were done in thirty six patients(20M/16F, mean age 40±12.5 range 16-65 years ) at gastroenterology department, Sir Salimullah Medical College, Dhaka between October 2011 and September 2012. Indications for DBE included chronic abdominal pain 14(38.9%), obscure GI bleeding 11(30.56%), Small bowel obstruction 05(13.89%), and chronic diarrhea 06(16.67%). The morphologic findings were ulcerations 13(36.11%), growth 03(8.33%), vascular ectasia 03(8.33%) and polyp 01(2.78%). Therapeutic interventions were performed in one patient only. No serious complications were observed. Diagnostic yields in case of chronic abdominal pain, chronic diarrhea, obscure GI bleeding and small bowel obstruction were 50%, 66%, 63% and 40% respectively. The findings were adenocarcinoma 04(11%), lymphoma 03(8.4%), tuberculosis 03(8.4%), non specific findings 05(13.9%), IPSID 01(2.8%), crohn’s disease 01(2.8%), vascular ectasia 03(8.33%) and normal 16(44.44%). DBE is well tolerated, feasible and useful technique for the diagnosis as well as treatment of small intestinal disorders. DOI: http://dx.doi.org/10.3329/bmrcb.v39i3.20311 Bangladesh Med Res Counc Bull 2013; 39: 116-119

scholarly journals Duplication cyst of the ileum presenting with severe anemia detected by double-balloon endoscopy

2018 ◽  
Vol 06 (04) ◽  
pp. E395-E398 ◽  
Author(s):  
Yumi Takegawa ◽  
Katsushi Hiramatsu ◽  
Yosuke Murata ◽  
Yu Akazawa ◽  
Yasushi Saito ◽  
...  
Keyword(s):  
Small Intestine ◽  
Abdominal Pain ◽  
Preoperative Diagnosis ◽  
Duplication Cyst ◽  
Deficiency Anemia ◽  
Severe Anemia ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Presenting Symptoms ◽  
Double Balloon

Abstract Background and study aims Duplication cysts of the ileum are rare and present with non-specific clinical manifestations such as abdominal pain, vomiting, melena, and intussusception. Therefore, preoperative diagnosis is difficult. Here, we report a case of duplication cyst of the small intestine that was diagnosed preoperatively using double-balloon enteroscopy. A 19-year-old man presented with severe iron deficiency anemia, abdominal pain, and exertional dyspnea. Gastroscopy and colonoscopy revealed no remarkable findings. Abdominal computed tomography revealed a cystic structure in the ileum. Therefore, we performed double-balloon enteroscopy via the anal route. The intestinal tract was bifurcated, with one segment ending in a blind sac containing normal villi and an ulceration. Tc-99 m pertechnetate scintigraphy showed no accumulation in the lesion. Accordingly, we diagnosed a duplication cyst and suspected that this was the cause of severe anemia. Following small bowel resection with cyst excision and anastomosis, the anemia and presenting symptoms resolved. This report highlights the usefulness of double-balloon enteroscopy of the small intestine for preoperative diagnosis of the obscure gastrointestinal bleeding, including duplication cysts.

scholarly journals The usefulness of double-balloon enteroscopy for colonic stent placement: A case report

2020 ◽  
Vol 97 (1) ◽  
pp. 125-127
Author(s):  
Yutaro Ogawa ◽  
Akihisa Matsuda ◽  
Takeshi Yamada ◽  
Jun Omori ◽  
Aitoshi Hoshimoto ◽  
...  
Keyword(s):  
Case Report ◽  
Stent Placement ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Double Balloon ◽  
Colonic Stent

scholarly journals Intussusception due to an Inverted Meckel’s Diverticulum Diagnosed by Double-Balloon Enteroscopy

2017 ◽  
Vol 11 (3) ◽  
pp. 640-644 ◽  
Author(s):  
Yuki Kawasaki ◽  
Satoshi Shinozaki ◽  
Tomonori Yano ◽  
Kenichi Oshiro ◽  
Mitsuaki Morimoto ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
Meckel's Diverticulum ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Double Balloon ◽  
Contrast Medium Injection ◽  
Emergent Surgery ◽  
Inverted Meckel’S Diverticulum

An 18-year-old man presented after undergoing multiple investigations for abdominal pain. Retrograde double-balloon enteroscopy showed a protruding red lesion in the ileum with small ulcers, approximately 75 cm proximal to the ileocecal valve, resulting in an intussusception. An inverted Meckel’s diverticulum was strongly suspected. Pressure was applied to the protruding lesion using contrast medium injection after wedging the lumen with a balloon. The intussusception partially reduced, avoiding the need for emergent surgery. Endoscopic tattooing was performed to mark the lesion for subsequent resection. Elective laparoscopy-assisted surgery with minimum laparotomy revealed an inverted Meckel’s diverticulum, which was resected.

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