Choledochoscope With Stent Placement For Treatment Of Benign Duodenal Strictures: A Case Report

BACKGROUNDEndoscopically or fluoroscopically guided dilation is a safe and effective alternative to surgery for patients with benign strictures of the gastric outlet.CASE SUMMARYWe describe two cases where a novel approach with a Spyglass (R) choledochoscope in assessing the extent of benign duodenal strictures and aiding in placement of duodenal stents for treatment of the strictures. Choledochoscope-guided wire and stent placement was successful in all cases, leading to symptom resolution related to benign duodenal obstruction. No major adverse events were observed.CONCLUSIONCholedochoscope-guided assessment and endoscopic therapy is a viable approach in relieving duodenal obstruction, if the conventional combined fluoroscopic and endoscopic methods fail.