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Strategy for Removing an Impacted Enterolith using Double-Balloon Enteroscopy in Crohn's Disease
Tatsuya Kikuchi1, Yasushi Yamasaki1,2, Tsuyoshi Fujimoto1
1Department of Gastroenterology, Iwakuni Clinical Center, National Hospital Organization, Yamaguchi, Japan.
European Journal of Case Reports in Internal Medicine
|February 15, 2021
Summary
Enteroliths in Crohn's disease can cause intestinal obstruction. Double-balloon enteroscopy offers a successful endoscopic approach for enterolith removal, overcoming accessibility challenges when traditional methods fail.
Area of Science:
- Gastroenterology
- Gastrointestinal Endoscopy
Background:
- Enteroliths are uncommon but serious complications in Crohn's disease, potentially leading to intestinal obstruction.
- Endoscopic enterolith removal is the preferred initial treatment but can be challenging due to limited endoscope accessibility.
Purpose of the Study:
- To describe a successful method for removing enteroliths in Crohn's disease using double-balloon enteroscopy.
- To present techniques that overcome poor accessibility during endoscopic enterolith removal.
Main Methods:
- Utilized double-balloon enteroscopy for enterolith removal in a patient with Crohn's disease.
- Employed specific techniques to enhance endoscope accessibility and facilitate stone extraction.
Main Results:
- Successfully removed an enterolith causing intestinal obstruction in a Crohn's disease patient.
- Demonstrated the feasibility of double-balloon enteroscopy in managing difficult enterolith cases.
Conclusions:
- Double-balloon enteroscopy is an effective endoscopic option for enterolith removal in Crohn's disease, especially when conventional methods are hindered by accessibility issues.
- Specific techniques can improve the success rate of endoscopic enterolith extraction in complex cases.
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