| Title: |
Novel Use of an Upper Gastrointestinal Endoscope for Double J Stent Removal via Ileal Conduit: A Minimally Invasive Approach Expanding Endourological Options |
| Authors: |
Sangameswaran, G.; Premkumar, K; Kini, Ratnakar |
| Source: |
Gastroenterology, Hepatology and Endoscopy Practice ; volume 6, issue 2, page 45-47 ; ISSN 2772-2732 2772-2740 |
| Publisher Information: |
Ovid Technologies (Wolters Kluwer Health) |
| Publication Year: |
2026 |
| Description: |
Bladder carcinoma requiring radical cystectomy often necessitates urinary diversion, with the ileal conduit being the most common option. Double J (DJ) stents are routinely placed across uretero-ileal anastomoses to support healing but require timely removal to avoid complications. Conventional removal techniques involve percutaneous or retrograde approaches with specialized urological instruments. We describe a minimally invasive alternative in a 60-year-old male postcystectomy with an ileal conduit and bilateral DJ stents. Using an oesophagogastroduodenoscope (OGD) under fluoroscopic guidance, both stents were identified and successfully removed intact with a rat-toothed forceps, without complications. The patient recovered uneventfully with stable renal function and no evidence of leak or obstruction. This case highlights the feasibility of OGD-assisted retrograde DJ stent removal in ileal conduits, offering a simple, safe, and cost-effective alternative. Wider adoption may expand minimally invasive options in selected patients, although further studies are required to validate its safety and long-term outcomes. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.4103/ghep.ghep_37_25 |
| Availability: |
https://doi.org/10.4103/ghep.ghep_37_25; https://journals.lww.com/10.4103/ghep.ghep_37_25 |
| Rights: |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
| Accession Number: |
edsbas.DBA02DAF |
| Database: |
BASE |