Altered anatomy: Enteroscopy and ERCP procedure

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• 作者：Tom G. Moreels ; MD ; PhD ; ^{tom.moreels@uza.be} (Prof. Dr.)
• 关键词：Roux-en-Y ; ERCP ; Device-assisted enteroscopy
• 刊名：Best Practice Research Clinical Gastroenterology
• 出版年：2012
• 出版时间：June, 2012
• 年：2012
• 卷：26
• 期：3
• 页码：347-357
• 全文大小：1008 K

文摘

Roux-en-Y entero-enteric anastomosis of the small bowel is?a commonly used surgical technique. However, it excludes the?afferent limb and the biliopancreatic system from conventional endoscopic access. Recent data have shown that device-assisted?enteroscopy (DAE) allows endoscopic retrograde cholangiopancreatography (ERCP) in these patients with high success rates. Both Double-balloon, short Double-balloon, Single-balloon and Spiral enteroscopy can be used for DAE-ERCP with comparable success. This review highlights the currently available literature data on DAE-ERCP in patients with Roux-en-Y anastomosis, and discusses the clinical aspects and technical difficulties. Although DAE does increase ERCP efficacy in patients with Roux-en-Y anastomosis, it remains a challenging procedure which is open to further improvement.