Endoscopy 2024; 56(08): 634
DOI: 10.1055/a-2302-5699
E-Videos

Commentary

1   Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal
2   Faculty of Medicine of the University of Porto, Porto, Portugal
› Author Affiliations

This video by Hu et al. [11] presents an important contribution to the management of acute colorectal obstruction. Although combined use of endoscopy and fluoroscopy should be considered when placing colonic stents [22], however in critically ill patients, as well as in situations where radiation exposure should be minimized, endoscopic monitoring may be the only option. Even though a pediatric endoscope may allow management of moderately tight strictures if located in the distal colon, this new method may be particularly useful for more proximal and tighter strictures. The small caliber of the cholangioscope and its 4-way directional control of the tip may allow these strictures to be navigated without fluoroscopy assistance, and the possibility of traversing the stricture may also add additional information on upstream mucosal viability. Its use, however, should be limited to selected cases, taking into consideration the price of the device.



Publication History

Article published online:
30 July 2024

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