Endoscopy 2022; 54(S 01): S69
DOI: 10.1055/s-0042-1744719
Abstracts | ESGE Days 2022
ESGE Days 2022 Oral presentations
14:00–15:00 Friday, 29 April 2022 Club E. Small bowel endoscopy: special challenges – special solutions

DISCONNECTION OF SPIRAL OVERTUBE: AN INFREQUENT COMPLICATION OF MOTORIZED SPIRAL ENTEROSCOPY

R. Muñoz Pérez
1   Alicante General University Hospital, Gastroenterology Department, Alicante, Spain
,
L. Compañy Catalá
1   Alicante General University Hospital, Gastroenterology Department, Alicante, Spain
,
F. Ruiz Gómez
1   Alicante General University Hospital, Gastroenterology Department, Alicante, Spain
,
A. Rodríguez Angulo
1   Alicante General University Hospital, Gastroenterology Department, Alicante, Spain
,
L. Guilabert Sanz
1   Alicante General University Hospital, Gastroenterology Department, Alicante, Spain
,
E. Álvarez Arroyo
1   Alicante General University Hospital, Gastroenterology Department, Alicante, Spain
,
L. Medina Prado
1   Alicante General University Hospital, Gastroenterology Department, Alicante, Spain
,
J. Martínez Sempere
1   Alicante General University Hospital, Gastroenterology Department, Alicante, Spain
,
B. Martínez Moreno
1   Alicante General University Hospital, Gastroenterology Department, Alicante, Spain
,
C. Mangas Sanjuán
1   Alicante General University Hospital, Gastroenterology Department, Alicante, Spain
,
J.R. Aparicio Tormo
1   Alicante General University Hospital, Gastroenterology Department, Alicante, Spain
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A 91-year-old man with suspected small bowel lymphoma underwent anterograde motorized spiral enteroscopy, identifying a stenosing lesion with features of lymphoma in jejunum. Biopsies and tattooing proximal to the lesion were performed. During withdrawal we realized that the overtube was embedded in oesophagus. With an inflated 20mm dilatation balloon partial removal was achieved, being completely removed with Magill forceps. An extensive laceration in oesophagus was treated with hemoclips with good results.

This is one of the first cases of disconnection of spiral overtube described in literature. It can be solved with simple endoscopic techniques, without resorting to more aggressive measures.



Publication History

Article published online:
14 April 2022

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