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The Great View Forward: The Use of a Colonoscope for Distal Duodenal Stent Placement

  • A. Minervini
  • A. LauroEmail author
  • N. Pagano
  • S. Vaccari
  • V. D’Andrea
  • I. R. Marino
  • M. Cervellera
  • V. Tonini
DDS–SIRC COOPERATIVE CONFERENCES
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Abstract

Introduction

Stent placement in the distal duodenum can be difficult. We describe a case report of a 94-year-old man with metastatic pancreatic head cancer compressing the third and fourth portions of the duodenum, treated by endoscopic stent placement using a colonoscope.

Areas Covered

A literature review highlighted two possible procedures for stent placement in the distal duodenum, namely forward-viewing and side-viewing endoscopies. Gastroscopes, duodenoscopes, enteroscopes, and colonoscopes have all been suggested for the purpose. For distal lesions, especially when the duodenal wall is stiffened due to compression or infiltration by neoplastic lesions, a conventional upper endoscope can be too short to reach the narrowed site in “push mode,” necessitating the use of a longer endoscope.

Expert Commentary

A colonoscope can be safely and effectively used to accomplish distal duodenal stent placement.

Keywords

Duodenal obstruction Pancreatic cancer Palliation Endoscopy Stents 

Abbreviations

CT scan

Computed tomography scan

SEMS

Self-expandable metallic stent

Notes

Acknowledgments

We wish to thank Ms. Caterina Sommariva for her support in drafting the drawings.

Compliance with Ethical Standards

Conflict of interest

None of the authors have any conflicts of interest pertaining to this work.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • A. Minervini
    • 1
  • A. Lauro
    • 1
    Email author
  • N. Pagano
    • 1
  • S. Vaccari
    • 1
  • V. D’Andrea
    • 2
  • I. R. Marino
    • 3
  • M. Cervellera
    • 1
  • V. Tonini
    • 1
  1. 1.Department of Emergency Surgery and GastroenterologySt. Orsola University HospitalBolognaItaly
  2. 2.Department of Surgical Sciences, Umberto I HospitalLa Sapienza UniversityRomeItaly
  3. 3.Sidney Kimmel Medical CollegeThomas Jefferson UniversityPhiladelphiaUSA

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