Duodenoscope insertion difficulty due to perigastric adhesions overcome using an overtube

Corresponding Author

Hiroshi Kawakami

[email protected]

orcid.org/0000-0003-0969-366X

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan

Correspondence

Hiroshi Kawakami, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, 5200, Kihara, Kiyotake, 889-1692 Miyazaki, Japan.

Email: [email protected]

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Naomi Uchiyama,

Naomi Uchiyama

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan

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Souichiro Ogawa,

Souichiro Ogawa

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan

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Hiroshi Kawakami,

Corresponding Author

Hiroshi Kawakami

[email protected]

orcid.org/0000-0003-0969-366X

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan

Correspondence

Hiroshi Kawakami, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, 5200, Kihara, Kiyotake, 889-1692 Miyazaki, Japan.

Email: [email protected]

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Naomi Uchiyama,

Naomi Uchiyama

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan

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Souichiro Ogawa,

Souichiro Ogawa

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan

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First published: 04 October 2023

https://doi.org/10.1002/jhbp.1362

Citations: 2

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Graphical Abstract

Kawakami and colleagues report a case of duodenoscope insertion difficulty through the pyloric ring due to perigastric adhesions which was successfully overcome using an overtube. The overtube can be attached to both standard and therapeutic duodenoscopes, allowing successful biliary or pancreatic intervention in patients in whom duodenoscopic insertion is challenging.