Double-balloon enteroscopy-assisted endoscopic retrograde cholangiography for Roux-en-Y reconstruction patients with papilla of Vater or bilioenteric anastomosis

Tsou, Yi Huan; Lee, Mu-Shien; Chen, Kuan-Fu; Lin, Cheng–Hui; Sung, Kai-Feng; Wu, Chin‐Chieh

doi:10.3109/00365521.2015.1056223

Cited by 14 publications

(16 citation statements)

References 26 publications

(47 reference statements)

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“…Furthermore, Tsou et al . suggested the efficacy and safety of large balloon dilation for patients with not only the intact papilla of Vater but also a bilioenteric anastomotic stricture . Our statistical analysis showed that balloon diameter was not associated with CJS recurrence, whereas remaining waist was significantly associated with CJS recurrence in the patients who underwent balloon dilation.…”

Section: Discussionmentioning

confidence: 64%

“…Recently, the development of balloon‐assisted enteroscopy (BAE) has enabled endoscopists to accomplish endoscopic retrograde cholangiopancreatography (ERCP) and several procedures associated with BAE‐ERCP for CJS and PJS, such as balloon dilation and/or stent deployment, with high success rates . However, these results were limited to only short‐term outcomes, and there have been few reports regarding long‐term results after BAE treatment . Additionally, the appropriate BAE‐ERCP procedures for CJS and PJS remain unknown.…”

Section: Introductionmentioning

confidence: 99%

“…[5][6][7] However, these results were limited to only short-term outcomes, and there have been few reports regarding long-term results after BAE treatment. [8][9][10][11] Additionally, the appropriate BAE-ERCP procedures for CJS and PJS remain unknown.…”

Section: Introductionmentioning

confidence: 99%

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Long‐term outcomes after therapeutic endoscopic retrograde cholangiopancreatography using balloon‐assisted enteroscopy for anastomotic stenosis of choledochojejunostomy/pancreaticojejunostomy

Sano

Katanuma

Kuwatani

et al. 2019

J of Gastro and Hepatol

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Background and Aim Data on long‐term outcomes after therapeutic endoscopic retrograde cholangiopancreatography (ERCP) using balloon‐assisted enteroscopy (BAE) for choledochojejunal anastomotic stenosis (CJS) or pancreaticojejunal anastomotic stenosis (PJS) remain limited. We retrospectively assessed the long‐term results of patients who achieved clinical success using BAE for CJS and PJS. Methods Patients who achieved technical and clinical success for CJS or PJS by BAE‐ERCP and were followed up for more than 6 months after the initial BAE‐ERCP therapy were retrospectively identified at 11 Japanese institutions. The primary end‐point was CJS or PJS recurrence rates. The secondary end‐points were initial therapy details, initial therapy complications, and CJS or PJS recurrence treatment details. We also evaluated restenosis‐associated factors. Results From September 2008 to December 2015, 67 patients (CJS, 61; PJS, six) were included. The overall CJS and PJS recurrence rates were 34.4% and 33.3%, respectively. The 1‐year CJS recurrence rate was 18.5% (95% confidence interval, 10.7–31.0). Of all the patients, 88.1% underwent balloon dilation at the anastomotic stenosis site; stent placement was performed in 15 of 67 patients (22.4%). The complication rate was 8.2% in CJS and 0% in PJS. In patients who underwent balloon dilation, “remaining waist” was significantly associated with CJS recurrence after anastomotic balloon dilation (P = 0.001). Conclusions The long‐term outcomes of BAE‐ERCP were comparable with those of percutaneous transhepatic treatment or surgical re‐anastomosis.

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

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Long‐term outcomes after therapeutic endoscopic retrograde cholangiopancreatography using balloon‐assisted enteroscopy for anastomotic stenosis of choledochojejunostomy/pancreaticojejunostomy

Sano

Katanuma

Kuwatani

et al. 2019

J of Gastro and Hepatol

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“…Patients with pancreaticobiliary diseases and altered anatomy were previously managed either by laparoscopy‐assisted ERCP, percutaneously or by double balloon‐assisted ERCP. Although the technical success rate for the double balloon‐assisted approach is greater than 80% in expert hands, the procedure is technically cumbersome and time‐consuming . Recently, under EUS‐guidance, LAMS have been successfully placed between the gastric remnant and the excluded stomach (Video S3).…”

Section: Current Clinical Applicationsmentioning

confidence: 99%

“…Although the technical success rate for the double balloon-assisted approach is greater than 80% in expert hands, the procedure is technically cumbersome and timeconsuming. 24 Recently, under EUS-guidance, LAMS have been successfully placed between the gastric remnant and the excluded stomach (Video S3). Usually the LAMS are left in situ for 2-3 weeks for the transmural tract to mature.…”

Section: Gastric Outlet Obstructionmentioning

confidence: 99%

Lumen‐apposing metal stents for endoscopic ultrasonography‐guided interventions

Bang

Varadarajulu

2019

Digestive Endoscopy

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Lumen‐apposing metal stents (LAMS) are integrated in a single‐step delivery platform and can be deployed under endoscopic ultrasound‐guidance for the drainage of intra‐abdominal fluid collections, decompression of obstructed ductal systems, establishment of anastomosis or creation of fistulous tracts between organs that can facilitate further endoscopic interventions if required. A unique feature of LAMS is their ability to approximate the adjoining structures, thereby minimizing the potential for leak and perforation. Consequently, the innovation has advanced our ability to carry out complex therapeutic interventions and obviate the need for high‐risk surgical procedures, particularly in morbid patients. However, a keen awareness of the technical design of LAMS and its implication on treatment effect is important to minimize adverse events and to improve clinical outcomes. This review outlines the technical approach to placement of LAMS, procedural challenges, adverse events, current clinical indications and emerging applications.

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Endoscopic Retrograde Cholangiopancreatography in Surgically Altered Anatomy

Lin

2018

Biliopancreatic Endoscopy

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Double-balloon enteroscopy-assisted endoscopic retrograde cholangiography for Roux-en-Y reconstruction patients with papilla of Vater or bilioenteric anastomosis

Abstract: DBE-ERC was effective for both populations with biliary disorders. Reaching the blind end was more difficult but ERC was easier for patients with BEA in terms of procedure time rather than success rates.

Cited by 14 publications

References 26 publications

Long‐term outcomes after therapeutic endoscopic retrograde cholangiopancreatography using balloon‐assisted enteroscopy for anastomotic stenosis of choledochojejunostomy/pancreaticojejunostomy

Long‐term outcomes after therapeutic endoscopic retrograde cholangiopancreatography using balloon‐assisted enteroscopy for anastomotic stenosis of choledochojejunostomy/pancreaticojejunostomy

Lumen‐apposing metal stents for endoscopic ultrasonography‐guided interventions

Endoscopic Retrograde Cholangiopancreatography in Surgically Altered Anatomy

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