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学科主题: 临床医学
题名:
Adult colonoscopy or single-balloon enteroscopy-assisted ERCP in long-limb surgical bypass patients
作者: Li, Ke; Huang, Yong-Hui; Yao, Wei; Chang, Hong; Huang, Xue-Biao; Zhang, Yao-Peng; Song, Zhi-Qiang
刊名: CLINICS AND RESEARCH IN HEPATOLOGY AND GASTROENTEROLOGY
发表日期: 2014-09-01
DOI: 10.1016/j.clinre.2014.01.006
卷: 38, 期:4, 页:513-519
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Gastroenterology & Hepatology
研究领域[WOS]: Gastroenterology & Hepatology
关键词[WOS]: ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY ; EN-Y ANASTOMOSIS ; ANATOMY
英文摘要:

Objective: The aim of this study was to evaluate the usefulness of adult colonoscopy or single-balloon enteroscopy (SBE)-assisted endoscopic retrograde cholangiopancreatography (ERCP) in long-limb surgical bypass patients.

Methods: Retrospective analysis of 16 patients with long-limb surgical bypasses who underwent therapeutic ERCP because of suspected pancreaticobiliary diseases. Small-bowel intubation was performed by peroral adult colonoscopy or SBE. If colonoscopy success was achieved, ERCP was performed subsequently. But in patients using SBE, a small-caliber colonoscope would be used to replace enteroscope if the SBE success was achieved. ERCP was then performed with the conventional accessories.

Results: A total of 21 ERCP procedures were performed. Adult colonoscope was used for ERCP in 8 patients with standard Whipple resection consecutively. Colonoscopy success was achieved in 8 of 8 patients (100%), of whom 7 of 8 (87.5%) achieved ERCP success. SBE-assisted ERCP was attempted in other 8 patients with different types of Roux-en-Y anatomy. SBE success was achieved in 7 of 8 patients (87.5%), of whom 4 of 7 (57.1%) achieved ERCP success. The overall success rate of endoscopy and ERCP was 93.8% (15/16) and 68.8% (11/16), respectively.

Conclusions: Adult colonoscopy has high success rate for performing ERCP after Whipple resection and should be selected for such patient preferentially. By using the facilitated method for endoscopic interventions at pancreaticobiliary disease after Roux-en-Y reconstruction, SBE-assisted ERCP can be attempted when it is difficult to gain access to the papilla of Vater or bilioenteric/pancreaticoenteric anastomosis and long length ERCP accessories cannot be available. (C) 2014 Elsevier Masson SAS. All rights reserved.

语种: 英语
WOS记录号: WOS:000342364500028
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52468
Appears in Collections:北京大学第三临床医学院_消化科_期刊论文

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作者单位: Peking Univ, Hosp 3, Dept Gastroenterol, Beijing 100191, Peoples R China

Recommended Citation:
Li, Ke,Huang, Yong-Hui,Yao, Wei,et al. Adult colonoscopy or single-balloon enteroscopy-assisted ERCP in long-limb surgical bypass patients[J]. CLINICS AND RESEARCH IN HEPATOLOGY AND GASTROENTEROLOGY,2014,38(4):513-519.
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