Video capsule endoscopy in patients with known or suspected small bowel stricture previously tested with the dissolving patency capsule.

Goals: To assess the safety of the Pillcam in patients with known or suspected radiologic stricture, previously tested for small bowel patency using the Given Patency capsule.

Background: Intestinal stricture contributes a major contraindication to video capsule endoscopy (VCE), because of the risk of capsule retention.

Study: Twenty-seven patients (16 female, mean age 44.

Current management of postoperative complications and benign biliary strictures.

Postoperative complications after surgery of the biliary tract are usually amenable to endoscopic treatment. Such complications are most frequent after laparoscopic cholecystectomy. Bile leaks and bile duct strictures are the two main biliary injuries.

A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease.

Background & Aims: This study was undertaken to prospectively compare the clinical outcomes of small bowel radiographs with the wireless capsule endoscopy.

Methods: Twenty-two patients were selected consecutively because of suspected small bowel disease. Two patients were excluded owing to ileal stenosis.

Transnasal extraction of residual biliary stones by Seldinger technique and nasobiliary drain.

Background: Complete endoscopic clearance of bile duct stones is unsuccessful in up to 30% of patients at the first attempt, necessitating further endoscopic procedures. A novel transnasal approach for extraction of these residual stones using Seldinger technique and a nasobiliary drain was evaluated.

Methods: Twenty-one patients with residual biliary stones after ERCP underwent transnasal extraction under fluoroscopy without sedation.

Use of a duodenoscope to manage complications at the ureteroileal anastomotic site after total urinary bladder resection and the Bricker procedure.

Background: A novel flexible endoscopic technique is described for the treatment of ureteroileal strictures and leaks after the Bricker procedure.

Methods: Seventeen patients with 24 ureteroileal complications (strictures, 22; leaks, 2) were treated under conscious sedation with a side-viewing duodenoscope. The ureter was cannulated and stent insertion, dilation, or both were performed.