Double‐balloon enteroscopy for choledochojejunal anastomotic stenosis after hepato‐biliary‐pancreatic operation

Sakakihara, Ichiro; Kato, Hironari; Muro, Shinichiro; Noma, Yasuhiro; Yamamoto, Naoki; Harada, Ryo; Horiguchi, Shigeru; Tsutsumi, Keisuke; Okada, Hiroyuki; Yamamoto, Kazuhide; Shinmoto, Hiroshi; Yagi, T.

doi:10.1111/den.12332

Cited by 31 publications

(24 citation statements)

References 37 publications

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“…[61] The success rate of insertion into the bilioenteric anastomotic site for patients after Roux-en-Y reconstruction was unsatisfactory compared with that for patients after PD with Child resection. [62] In our analysis a low enteroscopy success rate did occur in the patient group who had bariatric RYGB surgery undergoing ERCP with short type DBE. However, a large multicenter study showed that the success rates of ERCP with various enteroscopes appear to be similar between RYGB and non-RYGB surgical anatomy.…”

Section: Discussionmentioning

confidence: 66%

Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysis

Shao

Guo

2017

Saudi J Gastroenterol

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Section: Discussionmentioning

confidence: 66%

Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysis

Shao

Guo

2017

Saudi J Gastroenterol

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“…[4][5][6] Percutaneous transhepatic biliary drainage (PTBD) is the conventionally alternative method in patients who fail ERCP. In cases of failed cannulation in surgically altered anatomies, balloon enteroscopy-assisted ERCP is as an alternative that has shown high technical and clinical success in specialized centers; [10][11][12] however, currently, it is not a well-established procedure. [7][8][9] It may also be difficult to carry out when the intrahepatic bile ducts are not dilated.…”

Section: Introductionmentioning

confidence: 99%

Recent advances in endoscopic ultrasound‐guided biliary drainage

Minaga

Kitano

2017

Digestive Endoscopy

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Endoscopic ultrasound-guided biliary drainage (EUS-BD) is increasingly used as an alternative in patients with biliary obstruction who fail standard endoscopic retrograde cholangiopancreatography (ERCP). The two major endoscopic approach routes for EUS-BD are the transgastric intrahepatic and the transduodenal extrahepatic approaches. Biliary drainage can be achieved by three different methods, transluminal biliary stenting, transpapillary rendezvous technique, and antegrade biliary stenting. Choice of approach route and drainage method depends on individual anatomy, underlying disease, and location of the biliary stricture. Recent meta-analyses have revealed that cumulative technical success and adverse event rates were 90-94% and 16-23%, respectively. Development of new dedicated devices for EUS-BD would help refine the technical aspects and minimize the possibility of complications, making it a more promising procedure.

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“…The short double-balloon enteroscope (DBE) is considered a useful device for endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomies 1. One reason for this is that the short length of the scope allows many conventional ERCP accessories to be used, unlike the long DBE.…”

Section: Introductionmentioning

confidence: 99%

Impact of a Newly Developed Short Double-Balloon Enteroscope on Stent Placement in Patients with Surgically Altered Anatomies

Tsutsumi

Kato

2017

Gut and Liver

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A newly developed short double-balloon enteroscope with a working channel enlarged to a diameter of 3.2 mm is a novel innovation in stent placement for patients with surgically altered anatomies. Herein, we report three patients in whom this new scope contributed to an efficient technique and ideal treatment. In the first case, the double guidewire technique was efficient and effective for multiple stent placements. In the second case, covered self-expandable metal stent (SEMS) placement, which is the standard treatment for malignant biliary obstruction, could be performed in a technologically sound and safe manner. In the third case, SEMS placement was performed as palliative treatment for malignant afferent-loop obstruction; this procedure could be performed soundly and safely using the through-the-scope technique. The wider working channel of this new scope also facilitates a smoother accessory insertion and high suction performance, which reduces procedure time and stress on endoscopists. Furthermore, this new scope, which has advanced force transmission, adaptive bending, and a smaller turning radius, is expected to be highly successful in both diagnosis and therapy for various digestive diseases in patients with surgically altered anatomies.

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Double‐balloon enteroscopy for choledochojejunal anastomotic stenosis after hepato‐biliary‐pancreatic operation

Abstract: Dilation of choledochojejunal anastomosis combined with stent deployment using DBE-ERCP seems to be a viable first-line treatment for patients with stenosis of choledochojejunal anastomosis.

Cited by 31 publications

References 37 publications

Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysis

Endoscopic retrograde cholangiopancreatography with double balloon enteroscope in patients with altered gastrointestinal anatomy: A meta-analysis

Recent advances in endoscopic ultrasound‐guided biliary drainage

Impact of a Newly Developed Short Double-Balloon Enteroscope on Stent Placement in Patients with Surgically Altered Anatomies

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