{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T09:50:43Z","timestamp":1793785843534,"version":"4.6.1"},"reference-count":12,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,6,19]],"date-time":"2012-06-19T00:00:00Z","timestamp":1340064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background and Aims:\u2002<\/jats:bold> Technical limitations of conventional endoscopes and delivery systems frequently hamper palliative endoscopic placement of self\u2010expandable metal stents for malignant small bowel obstruction. This study examined feasibility of the double balloon enteroscope\u2010guided withdrawal\u2010reinsertion method as a rescue procedure in patients with failed palliative stent placement for malignant small bowel obstruction.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> We enrolled 19 consecutive patients with small bowel obstruction due to metastatic gastric (<jats:italic>n<\/jats:italic>\u2003=\u200315) or colorectal cancer (<jats:italic>n<\/jats:italic>\u2003=\u20032), or primary small bowel carcinoma (<jats:italic>n<\/jats:italic>\u2003=\u20032), in whom previous attempts to place self\u2010expandable metal stents using conventional endoscopy had failed. Ten patients had undergone previous gastric surgery. After passing a guide\u2010wire using an enteroscope with or without the double\u2010balloon method, the enteroscope was withdrawn. A conventional endoscope was re\u2010inserted along the guide\u2010wire, and through\u2010the\u2010scope self\u2010expandable metal stent placement was performed.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Obstruction sites were efferent jejunal loop, proximal jejunum, and third duodenal portion. Technical success was achieved with 94.7% (18\/19) of stents, and clinical success occurred with 84.2% (16\/19) of patients. The gastric outlet obstruction score (pre\u2010procedure: 0.68\u2003\u00b1\u20030.58) increased by one week (2.05\u2003\u00b1\u20030.52, <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001). Stent migration and restenosis occurred in two (10.5%) and four (21.1%) of 19 stents, respectively. Median stent patency duration was 67\u2003days and median survival was 93\u2003days; these did not differ significantly by palliative chemotherapy (<jats:italic>P<\/jats:italic>\u2003=\u20030.76 and 0.67, respectively).<\/jats:p><jats:p><jats:bold>Conclusions:\u2002<\/jats:bold> The double\u2010balloon enteroscopy\u2010guided method followed by conventional endoscopic self\u2010expandable metal stent delivery was effective for rescue palliation of malignant small bowel obstruction.<\/jats:p>","DOI":"10.1111\/j.1440-1746.2012.07113.x","type":"journal-article","created":{"date-parts":[[2012,3,13]],"date-time":"2012-03-13T16:35:13Z","timestamp":1331656513000},"page":"1181-1186","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Preliminary study of enteroscopy\u2010guided, self\u2010expandable metal stent placement for malignant small bowel obstruction"],"prefix":"10.1111","volume":"27","author":[{"given":"Hyuk","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun Chul","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Kwan","family":"Shin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Kil","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong Chan","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,6,19]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2008.02.028"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-814434"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2009.06152.x"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.08.012"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-966994"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.giec.2007.05.007"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2004.40017.x"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-826103"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2006.03.001"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.07.024"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.05.005"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01063.x"}],"container-title":["Journal of Gastroenterology and Hepatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1440-1746.2012.07113.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1440-1746.2012.07113.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T19:49:49Z","timestamp":1697399389000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1440-1746.2012.07113.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,6,19]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2012,7]]}},"alternative-id":["10.1111\/j.1440-1746.2012.07113.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1440-1746.2012.07113.x","archive":["Portico"],"relation":{},"ISSN":["0815-9319","1440-1746"],"issn-type":[{"value":"0815-9319","type":"print"},{"value":"1440-1746","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,6,19]]},"assertion":[{"value":"2012-06-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}