Effective ”short” double-balloon enteroscope for diagnostic and therapeutic ERCP in patients with altered gastrointestinal anatomy: a large case series

Shimatani, Masaaki; Matsushita, Masayuki; Takaoka, Makoto; Koyabu, Masanori; Ikeura, Tsukasa; Kato, Kota; Fukui, Toshiro; Uchida, Kazushige; Okazaki, Kazuichi

doi:10.1055/s-0029-1215108

Cited by 200 publications

(258 citation statements)

References 11 publications

(11 reference statements)

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“…DBE-assisted ERCP has already gained acceptance for its less invasive technique and high-quality performance [2,3], and its applications in rendezvous techniques have been reported [4,5]. Adding to these, the rendezvous technique in combination with SDVS reported here will expand the possibilities of endoscopic approaches for extremely difficult cases where DBE-assisted ERCP or PTCD fails to offer patients an alternative that will allow them to avoid surgery.…”

Section: Videomentioning

confidence: 83%

Rendezvous technique: double-balloon endoscopy and SpyGlass direct visualization system in a patient with severe stenosis of a choledochojejunal anastomosis

et al. 2014

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Section: Videomentioning

confidence: 83%

Rendezvous technique: double-balloon endoscopy and SpyGlass direct visualization system in a patient with severe stenosis of a choledochojejunal anastomosis

et al. 2014

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“…The care of this patient emphasizes two advantages of double-balloon ERCP compared to percutaneous transhepatic biliary drainage (PTBD) in patients with liver cirrhosis and surgically altered anatomy [1][2][3] .…”

Section: Discussionmentioning

confidence: 99%

“…Double-balloon endoscopy facilitates endoscopic retrograde cholangiopancreatography (ERCP) and biliary drainage in patients with surgically altered anatomy [1,2] . We present a patient with cirrhosis, status post Roux-en-Y anastomosis, who underwent doubleballoon ERCP, which enabled an endoscopic intervention to relieve obstructive jaundice due to an intraductal hematoma secondary to bleeding from a hepatocellular carcinoma (HCC).…”

Section: Introductionmentioning

confidence: 99%

Bile Duct Drainage Using a Short Double-Balloon Endoscope for a Hematoma due to Hepatocellular Carcinoma After Roux-en-Y Reconstruction

Kondo

Shinozaki

Hatanaka

et al. 2015

Journal of Gastroenterology and Hepatology Research

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An 84-year-old male six years status post total gastrectomy with a Roux-en-Y reconstruction for the treatment of gastric cancer (Stage II) presented with a three-day history of fever (40.0℃) and jaundice. He also had cirrhosis secondary to hepatitis C infection. His local physician suspected obstructive jaundice and cholangitis caused by choledocholithiasis based on laboratory findings and magnetic resonance imaging. He was treated with antibiotics (Tazobactam/ Piperacillin hydrate), and transferred to our institution for further treatment.On admission, he presented with a low-grade fever (37.2℃) and ABSTRACTAn 84-year-old male status post Roux-en-Y anastomosis and cirrhosis presented with fever and jaundice. Double-balloon endoscopy showed bleeding from the papilla of Vater and endoscopic retrograde cholangiopancreatography was performed. Cholangiography revealed an intraductal filling defect due to blood clots probably caused by bleeding from the hepatocellular carcinoma. Placement of an endoscopic nasobiliary drainage tube relieved the jaundice and cholangitis. Subsequent transarterial chemoembolization for hepatocellular carcinoma was performed to control the bleeding. After removal of the tube, he was discharged. The patient developed obstructive jaundice caused by a hepatocellular carcinoma. A short double-balloon endoscope with a 2.8 mm working channel enabled metal stent placement. Double-balloon ERCP enabled biliary drainage in a patient with surgically altered anatomy and cirrhosis, and provided effective relief of symptoms. CASE REPORT

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“…The short DBE with a working length of 152 cm allows the use of standard ERCP accessories and thus may prove to be extremely useful. 8,9 However, there are no studies comparing short and long DBE ERCP.…”

Section: Enteroscopy Assisted Ercpmentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography in surgically altered anatomy

Goyal

Kasapoğlu

Thosani

2017

Int J Gastrointest Interv

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Endoscopic retrograde cholangiopancreatography (ERCP) in a surgically altered anatomy is a technically challenging undertaking with variable success and adverse event rates. There are several potential challenges to successfully perform an ERCP in patients with surgically altered anatomy such as identification of afferent limb, accessing and visualization of the papilla, and selective cannulation of the biliary and pancreatic ducts from altered orientation of the papilla. Several strategies to improve the success rate have been recommended by various endoscopy experts. In this review, we discussed the published literature involving various ERCP techniques described for surgically altered anatomies.

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Effective ”short” double-balloon enteroscope for diagnostic and therapeutic ERCP in patients with altered gastrointestinal anatomy: a large case series

Abstract: Despite the relatively high rate of complications seen in patients with Roux-en-Y reconstruction, ERCP with a "short" DBE is effective in patients who have undergone bowel reconstruction.

Cited by 200 publications

References 11 publications

Rendezvous technique: double-balloon endoscopy and SpyGlass direct visualization system in a patient with severe stenosis of a choledochojejunal anastomosis

Rendezvous technique: double-balloon endoscopy and SpyGlass direct visualization system in a patient with severe stenosis of a choledochojejunal anastomosis

Bile Duct Drainage Using a Short Double-Balloon Endoscope for a Hematoma due to Hepatocellular Carcinoma After Roux-en-Y Reconstruction

Endoscopic retrograde cholangiopancreatography in surgically altered anatomy

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