2016
DOI: 10.1097/md.0000000000005743
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Endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy

Abstract: Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy is challenging. Results of ERCP in those patients varied.The aim of our study was to evaluate the safety and effectiveness of various endoscopes-assisted ERCP in patients with surgically altered anatomy.Fifty-two patients with Billroth II reconstruction (group A), 20 patients with subtotal or total gastrectomy with Roux-en-Y anastomosis (group B), 25 patients with pancreatoduodenectomy or Roux-en-Y hepaticojejunos… Show more

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Cited by 29 publications
(40 citation statements)
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“…Endoscopic retrograde cholangiopancreatography (ERCP) is a valuable procedure which combines endoscopy and fluoroscopy for the management of pancreatobiliary diseases . It was first performed in 1968 by McCune, Shorb, and Moscovitz and few years later ERCP with sphincterotomy and removal of a common bile duct stone was reported in 1974 . ERCP is currently an established procedure in the field of therapeutic digestive endoscopy.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Endoscopic retrograde cholangiopancreatography (ERCP) is a valuable procedure which combines endoscopy and fluoroscopy for the management of pancreatobiliary diseases . It was first performed in 1968 by McCune, Shorb, and Moscovitz and few years later ERCP with sphincterotomy and removal of a common bile duct stone was reported in 1974 . ERCP is currently an established procedure in the field of therapeutic digestive endoscopy.…”
Section: Introductionmentioning
confidence: 99%
“…The success rate of ERCP in native gastrointestinal anatomy is higher than that in patients with a surgically altered anatomy, such as Billroth I and Billroth II reconstruction . Billroth I anatomy results from the anastomosis of the gastric remainder with the duodenum after distal gastric resection.…”
Section: Introductionmentioning
confidence: 99%
“…In the treatment of CBDS, ERCP has a very high application value in the treatment of difficult and complex CBDS due to its characteristics of small trauma, short operation time, less complications and good prognosis. [ 3 , 4 , 14 ] However, CBDS are likely to recur within 6 months after ERCP treatment, which has become a difficult problem for clinicians. At present, there are different reports about the recurrence rate of CBDS after ERCP.…”
Section: Discussionmentioning
confidence: 99%
“…At present, ERCP is the first choice for the treatment of CBDS. [ 3 , 4 ] However, ERCP has complications such as recurrence of CBDS, postoperative pancreatitis, bleeding and infection, among which the most common long-term complications are stone recurrence. [ 5 7 ] At present, there are different reports on the recurrence rate of CBDS after ERCP, ranging from 4% to 24%.…”
Section: Introductionmentioning
confidence: 99%
“…The use of dual lumen endoscope has potential advantage that the cooperation of two instruments through different channels can facilitate papillary cannulation in cases with difficult anatomy such as periampullary diverticulum and surgical altered anatomy. Unfortunately, the success rate of these procedures is not significantly higher than that of conventional side-viewing endoscopy, easily available forward-viewing endoscopy or standard colonoscopy (dual lumen endoscope, 82.8%; multiple bending endoscope, 92.9% vs conventional side-viewing endoscopy, 93.8%-97.5%; forward-viewing endoscopy, 95.4%; standard colonoscopy, 96.2%)[9,10,17-19,28,29]. Until now, there has been no large-scale retrospective cohort study or prospective comparative study.…”
Section: Discussionmentioning
confidence: 99%