Evaluation of the margins of differentiated early gastriccancer by using conventional endoscopy

• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: AFFERENT loop OBSTRUCTION Double balloonendoscopy Overtube Metallic stent BILIARY TRACT cancer
• 年，卷（期）: 2015,（6）
• 页码范围: 665-669
• 页数: 5页
• 分类号: R

摘要

Progress in double-balloon endoscopy （DBE） hasallowed for the diagnosis and treatment of disease inthe postoperative bowel. For example, a short DBE,which has a 2.8 mm working channel and 152 cmworking length, is useful for endoscopic retrogradecholangiopancreatography in bowel disease patients.However, afferent loop and Roux-limb obstruction,though rare, is caused by postoperative recurrence ofbiliary tract cancer with intractable complications. Mostof the clinical findings involving these complicationsare relatively nonspecific and include abdominal pain,nausea, vomiting, fever, and obstructive jaundice.Treatments by surgery, percutaneous transhepaticbiliary drainage, percutaneous enteral stent insertion,and endoscopic therapy have been reported. Thegeneral conditions of patients with these complicationsare poor due to cancer progression; therefore, a lessinvasive treatment is better. We report on the usefulnessof metallic stent insertion using an overtube for afferentloop and Roux-limb obstruction caused by postoperativerecurrence of biliary tract cancer under short DBE in twopatients with complexly reconstructed intestines.