Endoscopic Retrograde Cholangiopancreatography and Needle-Knife Sphincterotomy in Patients with Billroth II Gastrectomy: A Comparative Study of the Forward-viewing Endoscope and the Side-viewing Duodenoscope

Kim, M. H.; Lee, S. K.; Lee, M. H.; Myung, Seung Jae; Yoo, Byung Moo; Seo, Dong-Woo; Min, Young‐Il

doi:10.1055/s-2007-1004080

Cited by 115 publications

(111 citation statements)

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“…Th e fi rst use of the endoscopic approach in patients with Billroth II anatomy was reported by Katon et al ( 6 ) in 1975. Subsequent attempts have been made to perform ERC using standard side-viewing duodenoscopes, forward-viewing endoscopes and colonoscopes, with success rates of 50-92% ( 3,(7)(8)(9)(10)(11)(12). Th e fi rst use of ERC in patients who had undergone Rouxen-Y (R-Y) reconstruction was reported by Gostout and Bender in 1988 ( 13 ); subsequent attempts to perform ERC with duodenoscopes, pediatric-or adult-use colonoscopes, enteroscopes, ( 12,(14)(15)(16) and oblique-viewing endoscopes with an overtube ( 17 ) have achieved success rates of 33-67%.…”

Section: Short-type Double-balloon Endoscopy Assisted Ercmentioning

confidence: 99%

Diagnostic and Therapeutic Endoscopic Retrograde Cholangiography Using a Short-Type Double-Balloon Endoscope in Patients With Altered Gastrointestinal Anatomy: A Multicenter Prospective Study in Japan

Shimatani

Hatanaka

Kogure

et al. 2016

American Journal of Gastroenterology

129

123

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, The Japanese DB-ERC Study Group 10 OBJECTIVES:To evaluate the utility and safety of a short-type double-balloon endoscope (DBE) in the treatment of biliary disease in patients with surgically altered gastrointestinal (GI) anatomy. METHODS:This study was conducted as a multicenter, single-arm, prospective trial at fi ve tertiary academic care centers and three community-based hospitals in Japan. Consecutive patients with biliary disease with altered GI anatomy were prospectively included in this study. RESULTS:A total of 311 patients underwent double-balloon endoscopic retrograde cholangiography (ERC). The success rate of reaching the target site, the primary end point, was 97.7% (95% confi dence interval (CI): 95.4-99.1). The success rate of biliary cannulation and contrast injection of the targeted duct, the secondary end point, was 96.4% (95% CI: 93.6-98.2), and the therapeutic success rate was 97.9% (95% CI: 95.4-99.2). Adverse events occurred in 33 patients (10.6%, 95% CI: 7.1-14.0) and were managed conservatively in all patients with the exception of 1 in whom a perforation developed, requiring emergency surgery.CONCLUSIONS: ERC using a short-type DBE resulted in an excellent therapeutic success rate and a low rate of adverse events. This treatment can be a fi rst-line treatment for biliary disease in patients with surgically altered GI anatomy.

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Section: Short-type Double-balloon Endoscopy Assisted Ercmentioning

confidence: 99%

Diagnostic and Therapeutic Endoscopic Retrograde Cholangiography Using a Short-Type Double-Balloon Endoscope in Patients With Altered Gastrointestinal Anatomy: A Multicenter Prospective Study in Japan

Shimatani

Hatanaka

Kogure

et al. 2016

American Journal of Gastroenterology

129

123

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“…176,177 However, smaller case series report perforation rates as high as 18%, which may reflect closer to the experience of community ERCP endoscopists. 178 Post-Whipple (pancreaticoduodenectomy) anatomy does not appear to significantly increase the risk of perforation during ERCP. 179 It is important to consider that various risk factors may predispose to each type of perforation.…”

Section: Risk Reductionmentioning

confidence: 98%

Endoscopic retrograde cholangiopancreatography complications: Techniques to reduce risk and management strategies

Tarnasky

Kedia

2017

Int J Gastrointest Interv

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Adverse events after endoscopic retrograde cholangiopancreatography (ERCP) are not uncommon and can be associated with tragic outcomes. Bleeding, perforation, and post-ERCP pancreatitis are the most common complications. Some events are unavoidable; others are associated with well described risk factors so that they can be either anticipated and/or measures can be taken for prevention or at least risk reduction. This review will focus on the more common complications after ERCP, their risk factors, and potential strategies for risk reduction. Additionally, recommendations for management of ERCP complications will be presented.

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“…However, the perforation rate was significantly lower with the forward viewing endoscopes. 21 In order to improve orientation for cannulation in Biliroth II, several ERCP accessories such as a rotatable sphincterotome, a sigmoid shaped sphincterotome or a straight catheter with groomed distal tip have shown good efficacy (~90%) with low adverse event rates (< 5%). 22,23 Another popular strategy is the use biliary stent as a guide to perform needle knife sphincterotomy with a reported success rate of 83% and early complication rate of 39% (bleeding 16%, pancreatitis 8%, perforation 2%) in a small cohort of 18 patients.…”

Section: Ercp In Post-billroth II Gastrectomymentioning

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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Endoscopic Retrograde Cholangiopancreatography and Needle-Knife Sphincterotomy in Patients with Billroth II Gastrectomy: A Comparative Study of the Forward-viewing Endoscope and the Side-viewing Duodenoscope

Cited by 115 publications

References 0 publications

Diagnostic and Therapeutic Endoscopic Retrograde Cholangiography Using a Short-Type Double-Balloon Endoscope in Patients With Altered Gastrointestinal Anatomy: A Multicenter Prospective Study in Japan

Diagnostic and Therapeutic Endoscopic Retrograde Cholangiography Using a Short-Type Double-Balloon Endoscope in Patients With Altered Gastrointestinal Anatomy: A Multicenter Prospective Study in Japan

Endoscopic retrograde cholangiopancreatography complications: Techniques to reduce risk and management strategies

Endoscopic retrograde cholangiopancreatography in surgically altered anatomy

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