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Usefulness of Forward-Viewing Endoscope for Endoscopic Retrograde Cholangiopancreatography in Patients with Billroth II Gastrectomy

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...

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Autores principales: Byun, Jong Won, Kim, Jae Woo, Sung, Se Yong, Jung, Ho Yeon, Jeon, Hyo Keun, Park, Hong Jun, Kim, Moon Young, Kim, Hyun Soo, Baik, Soon Koo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Gastrointestinal Endoscopy 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3521942/
https://www.ncbi.nlm.nih.gov/pubmed/23251888
http://dx.doi.org/10.5946/ce.2012.45.4.397
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author Byun, Jong Won
Kim, Jae Woo
Sung, Se Yong
Jung, Ho Yeon
Jeon, Hyo Keun
Park, Hong Jun
Kim, Moon Young
Kim, Hyun Soo
Baik, Soon Koo
author_facet Byun, Jong Won
Kim, Jae Woo
Sung, Se Yong
Jung, Ho Yeon
Jeon, Hyo Keun
Park, Hong Jun
Kim, Moon Young
Kim, Hyun Soo
Baik, Soon Koo
author_sort Byun, Jong Won
collection PubMed
description 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.
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spelling pubmed-35219422012-12-18 Usefulness of Forward-Viewing Endoscope for Endoscopic Retrograde Cholangiopancreatography in Patients with Billroth II Gastrectomy Byun, Jong Won Kim, Jae Woo Sung, Se Yong Jung, Ho Yeon Jeon, Hyo Keun Park, Hong Jun Kim, Moon Young Kim, Hyun Soo Baik, Soon Koo Clin Endosc Original Article 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. The Korean Society of Gastrointestinal Endoscopy 2012-11 2012-11-30 /pmc/articles/PMC3521942/ /pubmed/23251888 http://dx.doi.org/10.5946/ce.2012.45.4.397 Text en Copyright © 2012 Korean Society of Gastrointestinal Endoscopy http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Byun, Jong Won
Kim, Jae Woo
Sung, Se Yong
Jung, Ho Yeon
Jeon, Hyo Keun
Park, Hong Jun
Kim, Moon Young
Kim, Hyun Soo
Baik, Soon Koo
Usefulness of Forward-Viewing Endoscope for Endoscopic Retrograde Cholangiopancreatography in Patients with Billroth II Gastrectomy
title Usefulness of Forward-Viewing Endoscope for Endoscopic Retrograde Cholangiopancreatography in Patients with Billroth II Gastrectomy
title_full Usefulness of Forward-Viewing Endoscope for Endoscopic Retrograde Cholangiopancreatography in Patients with Billroth II Gastrectomy
title_fullStr Usefulness of Forward-Viewing Endoscope for Endoscopic Retrograde Cholangiopancreatography in Patients with Billroth II Gastrectomy
title_full_unstemmed Usefulness of Forward-Viewing Endoscope for Endoscopic Retrograde Cholangiopancreatography in Patients with Billroth II Gastrectomy
title_short Usefulness of Forward-Viewing Endoscope for Endoscopic Retrograde Cholangiopancreatography in Patients with Billroth II Gastrectomy
title_sort usefulness of forward-viewing endoscope for endoscopic retrograde cholangiopancreatography in patients with billroth ii gastrectomy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3521942/
https://www.ncbi.nlm.nih.gov/pubmed/23251888
http://dx.doi.org/10.5946/ce.2012.45.4.397
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