ERCP with the overtube-assisted enteroscopy technique: a systematic review

Skinner, Matthew J.; Popa, Daniel; Neumann, Helmut; Wilcox, C. Mel; Mönkemüller, Klaus

doi:10.1055/s-0034-1365698

Cited by 191 publications

(164 citation statements)

References 17 publications

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“…Single balloon enteroscope (SBE), double balloon enteroscope (DBE), and rotational/spiral enteroscopes have all been studied with overall success rate of 70% in a large meta-analysis comprising 266 RYGB patients. 5 There were no statistically significant differences between the therapeutic success rates between SBE, DBE and rotational enteroscope assisted ERCPs. Furthermore, there were no significant difference in the success rates between native papilla and anastomosis.…”

Section: Enteroscopy Assisted Ercpmentioning

confidence: 75%

“…Furthermore, there were no significant difference in the success rates between native papilla and anastomosis. 5 Similarly, in a large U.S. multicenter retrospective study involving 63 RYGB patients, the overall suc-cess rate of ERCP was 62% with no significant difference among various enteroscopes. In this study, no difference in success rates was seen between RYGB and non-gastric bypass post-surgical anatomy patients.…”

Section: Enteroscopy Assisted Ercpmentioning

confidence: 94%

“…The overall major adverse event rate in the meta-analysis conducted by Skinner et al 5 involving a total of 945 enteroscopy assisted ERCPs in post surgically altered patients including RYGB was 3.4% (n = 32). These included cholangitis (n = 1), pancreatitis (n = 11), bleeding (n = 3), perforation (n = 13), and death (n = 1).…”

Section: Enteroscopy Assisted Ercpmentioning

confidence: 97%

“…5 The primary challenge is reaching the papilla and several approached have been studied and described to successfully accomplish the ERCP task in this patient population.…”

Section: Ercp In Roux-en-y Gastric Bypass Anatomymentioning

confidence: 99%

“…The efficacy and adverse event rate was seen to be similar to that observed in RYGB patients. 5,6 ERCP in Post-Whipple Surgery…”

Section: Ercp In Roux-en-y Hepaticojejunostomy Anatomymentioning

confidence: 99%

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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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Section: Enteroscopy Assisted Ercpmentioning

confidence: 75%

Section: Enteroscopy Assisted Ercpmentioning

confidence: 94%

Section: Enteroscopy Assisted Ercpmentioning

confidence: 97%

“…5 The primary challenge is reaching the papilla and several approached have been studied and described to successfully accomplish the ERCP task in this patient population.…”

Section: Ercp In Roux-en-y Gastric Bypass Anatomymentioning

confidence: 99%

“…The efficacy and adverse event rate was seen to be similar to that observed in RYGB patients. 5,6 ERCP in Post-Whipple Surgery…”

Section: Ercp In Roux-en-y Hepaticojejunostomy Anatomymentioning

confidence: 99%

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Endoscopic retrograde cholangiopancreatography in surgically altered anatomy

Goyal

Kasapoğlu

Thosani

2017

Int J Gastrointest Interv

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Abdominal Pain After Roux-en-Y Gastric Bypass

Fry,

Finks

2023

JAMA Surg

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ImportanceRoux-en-Y gastric bypass (RYGB) remains one of the most commonly performed operations for morbid obesity and is associated with significant long-term weight loss and comorbidity remission. However, health care utilization rates following RYGB are high and abdominal pain is reported as the most common presenting symptom for those seeking care.ObservationsGiven the limitations of physical examination in patients with obesity, correct diagnosis of abdominal pain following RYGB depends on a careful history and appropriate use of radiologic, laboratory and endoscopic studies, as well as a clear understanding of post-RYGB anatomy. The most common etiologies of abdominal pain after RYGB are internal hernia, marginal ulcer, biliary disease (eg, cholelithiasis and choledocholithiasis), and jejunojejunal anastomotic issues. Early identification of the etiology of the pain is essential, as some causes, such as internal hernia or perforated gastrojejunal ulcer, may require urgent or emergent intervention to avoid significant morbidity. While laboratory findings and imaging may prove useful, they remain imperfect, and clinical judgment should always be used to determine if surgical exploration is warranted.Conclusions and RelevanceThe etiologies of abdominal pain after RYGB range from the relatively benign to potentially life-threatening. This Review highlights the importance of understanding key anatomical and technical aspects of RYGB to guide appropriate workup, diagnosis, and treatment.

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Management of benign biliary strictures: current status and perspective

Kaffes

2015

J Hepatobiliary Pancreat Sci

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Benign biliary strictures are common and occur either from hepato-biliary surgery or from diseases including chronic pancreatitis and primary sclerosing cholangitis, among others. The treatment of many such strictures is endoscopic with evolving new approaches especially with fully covered metal stents. The only classification system available is for postoperative strictures with the intention to guide surgical correction. There is no useful classification system to guide both assessment and management of benign biliary strictures. This proposed classification is relevant to patient care in assisting diagnosis and endoscopic management.

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ERCP with the overtube-assisted enteroscopy technique: a systematic review

Cited by 191 publications

References 17 publications

Endoscopic retrograde cholangiopancreatography in surgically altered anatomy

Endoscopic retrograde cholangiopancreatography in surgically altered anatomy

Abdominal Pain After Roux-en-Y Gastric Bypass

Management of benign biliary strictures: current status and perspective

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