Curative endoscopic treatment of intussusception due to a giant colonic lipoma using a wedged balloon and ligation with detachable snares

Okada, Masahiro; Sakamoto, Hirotsugu; Hayashi, Yoshikazu; Yano, Tomonori; Shinozaki, Satoshi; Sunada, Keijiro; Lefor, Alan Kawarai; Yamamoto, Hironori

doi:10.1007/s12328-019-00943-5

Cited by 3 publications

(2 citation statements)

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“…2). In retrograde DBE, the endoscope tip balloon was dilated on the distal side of the intussusceptum, and 50 to 150 ml of water or contrast medium was manually injected with a syringe to reduce the intussusception [8] (Fig. 3).…”

Section: Methodsmentioning

confidence: 99%

“…In retrograde DBE, the endoscope tip balloon was dilated on the distal side of the intussusceptum, and 50 to 150 mL of water or contrast medium was manually injected with a syringe to reduce the intussusception ( Fig. 3 ) 8 . Since the balloon controller automatically maintains the pressure of the endoscope tip balloon at 45 mmHg (6 kPa), it is expected that excess water spills over when the intraluminal pressure reaches 45 mm Hg (6 kPa) during the procedure.…”

Section: Methodsmentioning

confidence: 99%

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Endoscopic treatment of intussusception due to small intestine polyps in patients with Peutz-Jeghers Syndrome

et al. 2022

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Background Intussusception caused by intestinal polyps in patients with Peutz-Jeghers syndrome usually requires laparotomy. Patients following successful endoscopic reduction using double-balloon endoscopy (DBE) have been reported. The aim of this study is to evaluate the feasibility of endoscopic treatment of intussusception. Methods We retrospectively reviewed patients who underwent DBE for intussusception due to small intestine polyps in patients with Peutz-Jeghers syndrome from January 2004 to June 2020. Results Twenty-seven (antegrade 22, retrograde 5) DBEs were performed in 19 patients with 25 sites of intussusception identified during the study period. If the intussusception remained once the endoscope reached the site, endoscopic reduction of the intussusception was performed as needed (15 sites). Ultimately, endoscopic resections (8 sites) or ischemic polypectomies (16 sites) of the polyp causing the intussusception were completed at 24 sites. Only one site could not be treated endoscopically and was treated surgically. The final per-site and per-patient success rates of endoscopic treatment were 96% (24/25) and 95% (18/19) respectively. Two patients developed mild acute pancreatitis and one patient developed intussusception after the procedures, both of which were treated non-operatively. Conclusions Endoscopic treatment of intussusception is feasible to avoid laparotomy in patients with Peutz-Jeghers syndrome.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%