Endoscopic Retrograde Cholangiography Using an Anterior Oblique-Viewing Endoscope in Patients with Altered Gastrointestinal Anatomy

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• 作者：Kazunari Nakahara ; Chiaki Okuse ; Keigo Suetani…
• 关键词：Anterior oblique ; viewing endoscope ; Balloon enteroscope ; Endoscopic retrograde cholangiopancreatography ; Billroth II gastrectomy ; Roux ; en ; Y anastomosis
• 刊名：Digestive Diseases and Sciences
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：60
• 期：4
• 页码：944-950
• 全文大小：683 KB
• 参考文献：1.Shimatani M, Matsushita M, Takaoka M, et al. Effective “short-double-balloon enteroscope for diagnostic and therapeutic ERCP in patients with altered gastrointestinal anatomy: a large case series. Endoscopy. 2009;41:849-54.View Article PubMed
  2.Siddiqui AA, Chaaya A, Shelton C, et al. Utility of the short double-balloon enteroscope to perform pancreaticobiliary interventions in patients with surgically altered anatomy in a US multicenter study. Dig Dis Sci. 2013;58:858-64. doi:10.-007/?s10620-012-2385-z .View Article PubMed
  3.Obana T, Fujita N, Ito K, et al. Therapeutic endoscopic retrograde cholangiography using a single-balloon enteroscope in patients with Roux-en-Y anastomosis. Dig Endosc. 2013;25:601-07.View Article PubMed
  4.Yamauchi H, Kida M, Okuwaki K, et al. Short-type single balloon enteroscope for endoscopic retrograde cholangiopancreatography with altered gastrointestinal anatomy. World J Gastroenterol. 2013;19:1728-735.View Article PubMed Central PubMed
  5.Kikuyama M, Matsubayashi Y, Kageyama F, Sumiyoshi S, Kobayashi Y. Oblique-viewing endoscope facilitates endoscopic retrograde cholangiopancreatography and associated procedures in post-Billroth II gastrectomy patients. Dig Endosc. 2005;17:9-2.View Article
  6.Nakahara K, Horaguchi J, Fujita N, et al. Therapeutic endoscopic retrograde cholangiopancreatography using an anterior oblique-viewing endoscope for bile duct stones in patients with prior Billroth II gastrectomy. J Gastroenterol. 2009;44:212-17.View Article PubMed
  7.Kikuyama M, Sasada Y, Matsuhashi T, Ota Y, Nakahodo J. ERCP afterRoux-en-Y reconstruction can be carried out using an oblique-viewing endoscope with an overtube. Dig Endosc. 2009;21:180-84.View Article PubMed
  8.Sen-Yo M, Kaino S, Suenaga S, Uekitani T et al. Utility of the anterior oblique-viewing endoscope and the double-balloon enteroscope for endoscopic retrograde cholangiopancreatography in patients with Billroth II Gastrectomy. Gastroenterol Res Pract. 2012; (Epub 09/30/2012). doi: 10.-155/-012/-89269 .
  9.Itoi T, Ishii K, Sofuni A, et al. Single-balloon enteroscopy-assisted ERCP in patients with Billroth II gastrectomy or Roux-en-Y anastomosis (with video). Am J Gastroenterol. 2010;105:93-9.View Article PubMed
  10.Itoi T, Ishii K, Sofuni A, et al. Long- and short-type double-balloon enteroscopy-assisted therapeutic ERCP for intact papilla in patients with a Roux-en- Y anastomosis. Surg Endosc. 2011;25:713-21.View Article PubMed Central PubMed
  11.Cotton PB, Lehman G, Vennes J, et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc.. 1991;37:383-93.View Article PubMed
  12.Aabakken L, Bretthauer M, Line PD. Double-balloon enteroscopy for endoscopic retrograde cholangiography in patients with a Roux-en-Y anastomosis. Endoscopy. 2007;39:1068-071.View Article PubMed
  13.Emmett DS, Mallat DB. Double-balloon ERCP in patients who have undergone Roux-en-Y surgery: a case series. Gastrointest Endosc. 2007;66:1038-041.View Article PubMed
  14.M?nkemüller K, Fry LC, Bellutti M, Neumann H, Malfertheiner P. ERCP with the double balloon enteroscope in patients with Roux-en-Y anastomosis. Surg Endosc. 2009;23:1961-967.View Article PubMed
  15.Moreels TG, Hubens GJ, Ysebaert DK, Op de Beeck B, PA Pelckmans. Diagnostic and therapeutic double-balloon enteroscopy after small bowel Roux-en-Y reconstructive surgery. Digestion. 2009;80:141-47.View Article PubMed
  16.Wang AY, Sauer BG, Behm BW, et al. Single-balloon enteroscopy effectively enables diagnostic and therapeutic retrograde cholangiography in patients with surgically altered anatomy. Gastrointest Endosc. 2010;71:641-49.View Article PubMed
  17.Saleem A, Baron TH, Gostout CJ, et al. Endoscopic retrograde cholangiopancreatography using a single-balloon enteroscope in patients with altered Roux-en-Y anatomy. Endoscopy. 2010;42:656-60.View Article PubMed
  18.Hintze RE, Adler A, Veltzke W, Abou-Rebyeh H. Endoscopic access to the papilla of Vater for endoscopic retrograde cholangiopancreatography in patients with billroth II or Roux-en-Y gastrojejunostomy. Endoscopy. 1997;29:69-3.View Article PubMed
  19.Wright BE, Cass OW, Freeman ML. ERCP in patients with long-limb Roux-en-Y gastrojejunostomy and intact papilla. Gastrointest Endosc. 2002;56:225-32.View Article PubMed
  20.Elton E, Hanson BL, Qaseem T, Howell DA. Diagnostic and therapeutic ERCP using an enteroscope and a pediatric colonoscope in long-limb surgical bypass patients. Gastrointest Endosc. 1998;47:62-7.View Article PubMed
  21.Byun JW, Kim JW, Sung SY, et al. Usefulness of forward-viewing endoscope for endoscopic retrograde cholangiopancreatography in patients with Billroth II Gastrectomy. Clin Endosc. 2012;45:397-03.View Article PubMed Central PubMed
  22.Kim MH, Lee SK, Lee MH, et al. Endoscopic retrograde cholangiopancreatography and needle-knife sphincterotomy in patients with Bi
• 作者单位：Kazunari Nakahara (1)
  Chiaki Okuse (1)
  Keigo Suetani (1)
  Ryo Morita (1)
  Yosuke Michikawa (1)
  Shun-ichiro Ozawa (1)
  Kosuke Hosoya (1)
  Masahito Nomoto (1)
  Shinjiro Kobayashi (2)
  Takehito Otsubo (2)
  Fumio Itoh (1)
  
  1. Department of Gastroenterology and Hepatology, School of Medicine, St. Marianna University, 2-16-1, Sugao, Miyamae-ku, Kawasaki, 216-8511, Japan
  2. Department of Gastroenterological and General Surgery, School of Medicine, St. Marianna University, 2-16-1, Sugao, Miyamae-ku, Kawasaki, 216-8511, Japan
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Gastroenterology
  Hepatology
  Oncology
  Transplant Surgery
  Biochemistry
  
• 出版者：Springer Netherlands
• ISSN：1573-2568

文摘

Background Endoscopic retrograde cholangiopancreatography (ERCP) is technically more challenging in patients who have undergone gastrointestinal (GI) reconstruction. Aims The aim of this study was to evaluate the utility of the anterior oblique-viewing endoscope (AOE) for ERCP in patients with a retained major duodenal papilla after GI reconstruction. Methods This was a retrospective study involving 40 patients (50 procedures) with a retained papilla after GI reconstruction who underwent ERCP using AOE. Reconstruction consisted of Billroth II gastrectomy (BII) in 25 patients (30 procedures) and Roux-en-Y anastomosis (RY) in 15 patients (20 procedures). In RY cases, the long single-balloon enteroscope (LSBE) was exchanged with AOE after reaching the papilla. Results The overall rate of reaching the papilla using AOE was 90.0?% (45/50) [BII; 86.7?% (26/30), RY; 95.0?% (19/20)]. The overall rate of biliary cannulation was 97.8?% (44/45) [BII; 100?% (26/26), RY; 94.7?% (18/19)], and the rate of biliary cannulation for intact papilla was 96.6?% (28/29) [BII; 100?% (14/14), RY; 93.3?% (14/15)]. Treatment success rate in cases of successful biliary cannulation was 97.7?% (43/44) [BII; 100?% (26/26), RY; 94.4?% (17/18)]. The rate of adverse events was 6.0?% (3/50) [BII; 3.3?% (1/30), RY; 10.0?% (2/20)], with mild pancreatitis occurring in 3 cases. Conclusions High biliary cannulation and treatment rates can be achieved during ERCP using AOE in altered GI anatomy cases with a retained papilla, as long as the papilla can be reached. In RY cases, exchanging AOE with LSBE is useful after reaching the papilla.