Colangiopancreatografía retrógrada endoscópica en pacientes con alteraciones de la anatomía gástrica por cambios posquirúrgicos

Cuesta, Patricia Ruiz; Molina, A.; García-Borruel, María Muñoz; García, Juan Jurado; Sánchez, V. García; Navarro, María Pleguezuelo; Juanena, Luis Leonardo Casáis; Rodriguez, A

doi:10.1016/j.gastrohep.2013.08.001

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Berry et al 31 showed that patients with Billroth II gastrectomy have complex postsurgical anatomy and that an experienced physician is usually required to operate. Cuesta et al 32 reported on 233 patients who received ERCP after gastrointestinal surgery; 88.4% received Billroth II treatment and 11.6% received other types of gastrectomy, and the success rates of ERCP were 51.9% and 55.6%, respectively. The most common causes of failure were failure to intubate (44%) and failure to identify the papilla (39.6%).…”

Section: Discussionmentioning

confidence: 99%

Causes and Countermeasures of Difficult Selective Biliary Cannulation: A Large Sample Size Retrospective Study

Liu

Hong

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Objective: Selective biliary cannulation is a difficult part of endoscopic retrograde cholangiopancreatography (ERCP). Therefore, endoscopists have focused on how to improve the cannulation success rate and reduce the postoperative complication rate. This study aims to provide practical advice on safe operation for endoscopists.Materials and Methods: Data from the ERCP database of our medical center from January 2008 to December 2017 were retrospectively reviewed. All patients underwent ERCP for the first time. Data pertaining to diseases, anatomic factors, difficult cannulation rates, cannulation success rates, and postoperative complication rates for various assistive cannulation techniques were analyzed by using the Pearson χ 2 tests and Fisher exact tests. Results:The difficult cannulation rate was 8.1%. The main influencing factors were benign and malignant biliary stricture, duodenal papillae or ampullary tumors, thick and long duodenal papillae, peridiverticular papillae, ectopic papillae, edematous papillae, ulcerative papillae, anomalous pancreaticobiliary junction, and Billroth II gastrectomy. The postoperative complication rates and overall cannulation success rates of 7 assistive techniques were not statistically different (P > 0.05), but the overall complication rates were statistically different (P < 0.05). Needleknife precut sphincterotomy had the highest rate of complications. Conclusions:Benign and malignant biliary stricture, duodenal papillae or ampullary tumors, thick and long duodenal papillae, peridiverticular papillae, ectopic papillae, edematous papillae, ulcerative papillae, anomalous pancreaticobiliary junction, and Billroth II gastrectomy were the main factors of difficult selective biliary cannulation. The overall incidence of needle-knife precut sphincterotomy complications was higher than that of other techniques, but various assistive techniques were safe and effective in our single center.

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Section: Discussionmentioning

confidence: 99%

Causes and Countermeasures of Difficult Selective Biliary Cannulation: A Large Sample Size Retrospective Study

Liu

Hong

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…[ 4 ] A 19-year review of ERCP in patients with altered gastrointestinal anatomy from a single center reported a successful duodenal intubation rate of 51.9%, with failure resulting from the inability to cannulate (44%) or to identify the papilla (39.6%). [ 8 ] Percutaneous transhepatic papillary balloon dilatation is an alternative interventional radiological procedure for these cases. The technique was first reported by Staritz et al [ 9 ] in 1983.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous transhepatic papilla balloon dilatation combined with a percutaneous transcystic approach for removing concurrent gallbladder stone and common bile duct stone in a patient with billroth II gastrectomy and acute cholecystitis

Dong

Li²,

Wang³

et al. 2017

Medicine

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Background:A 61-year-old man presented with upper abdominal pain and jaundice. Abdominal computed tomography imaging revealed stones in the gallbladder and the common bile duct, with a thickening of the gallbladder wall and an obvious increase in the volume of the gallbladder. Initial treatment using endoscopic retrograde cholangiopancreatography failed due to the presence of surgically altered gastrointestinal anatomy. Stones in the gallbladder and common bile duct were subsequently removed concurrently via percutaneous transhepatic papilla balloon dilatation combined with a percutaneous transcystic approach. Liver function recovered rapidly, with total bilirubin and direct bilirubin levels decreasing to normal, with a concomitant improvement in hemoglobin and thrombocyte levels and resolution of the upper abdominal pain and jaundice.Conclusion:Percutaneous transhepatic papilla balloon dilatation, combined with a percutaneous transcystic approach, provided an effective alternative treatment for removing concurrent stones in the common bile duct and gallbladder in a patient with a previous Billroth II gastrectomy and presenting with an acute cholecystitis.

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Surgical Treatment for Choledocholithiasis Following Repeated Failed Endoscopic Retrograde Cholangiopancreatography

Younis

Pencovich

El-On

et al. 2022

Journal of Gastrointestinal Surgery

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Colangiopancreatografía retrógrada endoscópica en pacientes con alteraciones de la anatomía gástrica por cambios posquirúrgicos

Cited by 3 publications

References 17 publications

Causes and Countermeasures of Difficult Selective Biliary Cannulation: A Large Sample Size Retrospective Study

Causes and Countermeasures of Difficult Selective Biliary Cannulation: A Large Sample Size Retrospective Study

Percutaneous transhepatic papilla balloon dilatation combined with a percutaneous transcystic approach for removing concurrent gallbladder stone and common bile duct stone in a patient with billroth II gastrectomy and acute cholecystitis

Surgical Treatment for Choledocholithiasis Following Repeated Failed Endoscopic Retrograde Cholangiopancreatography

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