Strategy for Removing an Impacted Enterolith using Double-Balloon Enteroscopy in Crohn’s Disease

  • Tatsuya Kikuchi Department of Gastroenterology, Iwakuni Clinical Center, National Hospital Organization, Yamaguchi, Japan
  • Yasushi Yamasaki Department of Gastroenterology, Iwakuni Clinical Center, National Hospital Organization, Yamaguchi, Japan; Department of Gastroenterology, Okayama University Hospital, Okayama, Japan
  • Tsuyoshi Fujimoto Department of Gastroenterology, Iwakuni Clinical Center, National Hospital Organization, Yamaguchi, Japan
  • Shoichi Tanaka Department of Gastroenterology, Iwakuni Clinical Center, National Hospital Organization, Yamaguchi, Japan

Keywords

Crohn’s disease, enterolith, intestinal obstruction, double-balloon enteroscopy

Abstract

An enterolith in Crohn’s disease is an uncommon but serious condition because it can cause intestinal obstruction. Endoscopic treatment to remove the enterolith is attempted first, but is sometimes difficult owing to poor accessibility of the endoscope. In such cases, surgical treatment is inevitable. We successfully overcame poor accessibility and removed an enterolith using double-balloon enteroscopy. We describe our method below and suggest several helpful techniques.

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References

  • Steinhart AH, Girgrah N, McLeod RS. Reliability of a Crohn's disease clinical classification scheme based on disease behavior. Inflamm Bowel Dis 1998;4:228–234.
  • Bettenworth D, Bokemeyer A, Kou L, Lopez R, Bena JF, El Ouali S, et al. Systematic review with meta-analysis: efficacy of balloon-assisted enteroscopy for dilation of small bowel Crohn's disease strictures. Aliment Pharmacol Ther 2020;52:1104–1116.
  • Gurvits GE, Lan G. Enterolithiasis. World J Gastroenterol 2014;20:17819–17829.
  • Tewari A, Weiden J, Johnson JO. Small-bowel obstruction associated with Crohn's enterolith. Emerg Radiol 2013;20:341–344.
  • Muthukumarasamy G, Nairn ER, McMillan I. Enterolith and small bowel perforation in Crohn's disease. Inflamm Bowel Dis 2011;17:E126–127.
  • Published: 2021-01-28

    Issue: Vol 8 No 1 (view)

    Section: Articles

    How to cite:
    1.
    Kikuchi T, Yamasaki Y, Fujimoto T, Tanaka S. Strategy for Removing an Impacted Enterolith using Double-Balloon Enteroscopy in Crohn’s Disease. EJCRIM 2021;8 doi:10.12890/2021_002266.