Usefulness of Forward-Viewing Endoscope for Endoscopic Retrograde Cholangiopancreatography in Patients with Billroth II Gastrectomy
Clinical Endoscopy
;
: 397-403, 2012.
Article
in English
| WPRIM
| ID: wpr-149747
ABSTRACT
BACKGROUND/AIMS:
Patients undergoing Billroth II (B II) gastrectomy are at higher risk of perforation during endoscopic retrograde cholangiopancreatography (ERCP). We assessed the success rate and safety of forward-viewing endoscopic biliary intervention in patients with B II gastrectomy.METHODS:
A total of 2,280 ERCP procedures were performed in our institution between October 2008 and June 2011. Of these, forward-viewing endoscopic biliary intervention was performed in 46 patients (38 men and 8 women with B II gastrectomy). Wire-guided selective cannulations of the common bile duct using a standard catheter and guide wire were performed in all patients.RESULTS:
The success rate of afferent loop entrance was 42 out of 46 patients (91.3%) and of biliary cannulation after the approach of the papilla was 42 out of 42 patients (100%). No serious complications were encountered, except for one case of small perforation due to endoscopic sphincterotomy site injury.CONCLUSIONS:
When a biliary endoscopist has less experience and patient volume is low, ERCP with a forward-viewing endoscope is preferred because of its ease and safety in all patients with prior B II gastrectomies. Also, forward-viewing endoscope can be used to improve the success rate of biliary intervention in B II patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Catheterization
/
Gastroenterostomy
/
Cholangiopancreatography, Endoscopic Retrograde
/
Sphincterotomy, Endoscopic
/
Common Bile Duct
/
Endoscopes
/
Catheters
/
Gastrectomy
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Clinical Endoscopy
Year:
2012
Type:
Article
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