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Choledochoscope with stent placement for treatment of benign duodenal strictures: A case report
Ryan Sung-Eun Cho1, John Magulick2, Shelby Madden3
1Department of Gastroenterology and Hepatology, San Antonio Uniformed Services Health Education Consortium, San Antonio, TX 78253, United States. ryan.s.cho.mil@mail.mil.
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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