Background: Endoscopically or fluoroscopically guided dilation is a safe and effective alternative to surgery for patients with benign strictures of the gastric outlet.
Case Summary: We describe two cases where a novel approach with a Spyglass choledochoscope in assessing the extent of benign duodenal strictures and aiding in placement of duodenal stents for treatment of the strictures. Choledochoscope-guided wire and stent placement was successful in all cases, leading to symptom resolution related to benign duodenal obstruction. No major adverse events were observed.
Conclusion: Choledochoscope-guided assessment and endoscopic therapy is a viable approach in relieving duodenal obstruction, if the conventional combined fluoroscopic and endoscopic methods fail.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425279 | PMC |
| http://dx.doi.org/10.4253/wjge.v11.i3.256 | DOI Listing |
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