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Large Balloon Anchor Technique for Endoscopic Retrograde Cholangiopancreatography Required for Esophagogastroduodenal Deformities
OBJECTIVE: It is difficult to insert a side-viewing duodenoscope during endoscopic retrograde cholangiopancreatography in patients with esophagogastroduodenal deformities. To evaluate the efficacy and safety of using a large balloon anchor technique for cases in which inserting side-viewing duodenos...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355398/ https://www.ncbi.nlm.nih.gov/pubmed/33612682 http://dx.doi.org/10.2169/internalmedicine.6624-20 |
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author | Kawaguchi, Shinya Ohtsu, Takuya Itai, Ryosuke Terada, Shuzo Endo, Shinya Shirane, Naofumi |
author_facet | Kawaguchi, Shinya Ohtsu, Takuya Itai, Ryosuke Terada, Shuzo Endo, Shinya Shirane, Naofumi |
author_sort | Kawaguchi, Shinya |
collection | PubMed |
description | OBJECTIVE: It is difficult to insert a side-viewing duodenoscope during endoscopic retrograde cholangiopancreatography in patients with esophagogastroduodenal deformities. To evaluate the efficacy and safety of using a large balloon anchor technique for cases in which inserting side-viewing duodenoscopes is difficult. METHODS: We retrospectively examined patients with endoscopic retrograde cholangiopancreatography who required the large balloon anchor technique between April 2016 and October 2020. Patients with deformed superior duodenal angles, esophagogastric junctions and pyloric rings and those having a shortened lesser curve were included. RESULTS: The balloon as an anchor was safely used to insert the duodenoscopes in 17 patients, and this procedure was performed 21 times. The procedure was successful 20 out of 21 times (95.2%), including 12 cases with duodenal deformities, 5 with shortening of the lesser curve, 2 after duodenal stent placement and 1 with a deformity of the esophagogastric junction. In the remaining patient, the first ERCP was successful, but the second was unsuccessful with duodenal deformities. There were no complications throughout the course of the study. CONCLUSION: The large balloon anchor technique is a safe and useful technique for patients when inserting side-viewing duodenoscopes is difficult for various reasons. |
format | Online Article Text |
id | pubmed-8355398 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-83553982021-08-24 Large Balloon Anchor Technique for Endoscopic Retrograde Cholangiopancreatography Required for Esophagogastroduodenal Deformities Kawaguchi, Shinya Ohtsu, Takuya Itai, Ryosuke Terada, Shuzo Endo, Shinya Shirane, Naofumi Intern Med Original Article OBJECTIVE: It is difficult to insert a side-viewing duodenoscope during endoscopic retrograde cholangiopancreatography in patients with esophagogastroduodenal deformities. To evaluate the efficacy and safety of using a large balloon anchor technique for cases in which inserting side-viewing duodenoscopes is difficult. METHODS: We retrospectively examined patients with endoscopic retrograde cholangiopancreatography who required the large balloon anchor technique between April 2016 and October 2020. Patients with deformed superior duodenal angles, esophagogastric junctions and pyloric rings and those having a shortened lesser curve were included. RESULTS: The balloon as an anchor was safely used to insert the duodenoscopes in 17 patients, and this procedure was performed 21 times. The procedure was successful 20 out of 21 times (95.2%), including 12 cases with duodenal deformities, 5 with shortening of the lesser curve, 2 after duodenal stent placement and 1 with a deformity of the esophagogastric junction. In the remaining patient, the first ERCP was successful, but the second was unsuccessful with duodenal deformities. There were no complications throughout the course of the study. CONCLUSION: The large balloon anchor technique is a safe and useful technique for patients when inserting side-viewing duodenoscopes is difficult for various reasons. The Japanese Society of Internal Medicine 2021-02-22 2021-07-15 /pmc/articles/PMC8355398/ /pubmed/33612682 http://dx.doi.org/10.2169/internalmedicine.6624-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Kawaguchi, Shinya Ohtsu, Takuya Itai, Ryosuke Terada, Shuzo Endo, Shinya Shirane, Naofumi Large Balloon Anchor Technique for Endoscopic Retrograde Cholangiopancreatography Required for Esophagogastroduodenal Deformities |
title | Large Balloon Anchor Technique for Endoscopic Retrograde Cholangiopancreatography Required for Esophagogastroduodenal Deformities |
title_full | Large Balloon Anchor Technique for Endoscopic Retrograde Cholangiopancreatography Required for Esophagogastroduodenal Deformities |
title_fullStr | Large Balloon Anchor Technique for Endoscopic Retrograde Cholangiopancreatography Required for Esophagogastroduodenal Deformities |
title_full_unstemmed | Large Balloon Anchor Technique for Endoscopic Retrograde Cholangiopancreatography Required for Esophagogastroduodenal Deformities |
title_short | Large Balloon Anchor Technique for Endoscopic Retrograde Cholangiopancreatography Required for Esophagogastroduodenal Deformities |
title_sort | large balloon anchor technique for endoscopic retrograde cholangiopancreatography required for esophagogastroduodenal deformities |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355398/ https://www.ncbi.nlm.nih.gov/pubmed/33612682 http://dx.doi.org/10.2169/internalmedicine.6624-20 |
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