Single balloon enteroscopy for endoscopic retrograde cholangiography in patients with Roux-en-Y hepaticojejunoanastomosis

Abstract

This method is more demanding than standard endoscopic retrograde cholangiopancreatography due to altered postsurgical anatomy. However, it is effective, safe, and widens the possibilities of resolving biliary pathology.

Success of single-balloon enteroscopy in patients with surgically altered anatomy

“…Of note, some regarded only reaching the papilla, rather than cannulation, as a technical success. 14,18,[20][21]23 Apart from the SBE-PEGs, another unique aspect of our study is the 29 cases of SBE (22 anterograde and 7 retrograde) in surgically altered anatomy, not related to ERCP or PEG placement. Our technical success rate of 83% for all combined non-ERCP, non-PEG ASBEs, and RSBEs is comparable to the technical success rate of 81% of SBEs in normal anatomy seen in one retrospective review of 145 cases.…”

“…10 Although extensive data are available on SBE in patients with native anatomy, [11][12][13][14][15][16][17] the literature on surgically altered anatomy is limited to SBE-assisted ERCP. [18][19][20][21] No study to date has evaluated SBE in patients with altered anatomy outside of ERCP-assisted procedures. The primary objective of this study was to evaluate the safety, yield, and efficacy of SBE in all patients with surgically altered anatomy.…”

Monitoring of allograft vasculopathy by intravascular ultrasound one month and one year after heart transplantation: A single center study

“…In particular, steroid therapy may have contributed to the fact that two patients experienced pyrosis-like symptoms and dyspepsia, leading to the need of gastroscopy, which was, however, negative. During gastroscopy, as well as all other endoscopy examination, it is necessary to observe the principles of safe digestive endoscopy [16][17][18][19] . Besides CAV diagnostics, IVUS is used for verifying new therapy strategies in patients after HTx.…”

Systematic review and meta-analysis of single-balloon enteroscopy–assisted ERCP in patients with surgically altered GI anatomy

“…1). 6,[16][17][18][19][20][21][22][23][24][25][26][27][28][29] Both investigators used a standardized data collection form to increase uniformity and reduce bias in reporting. The articles included in our systematic review were reviewed in detail for data extraction on study design, sample size, type of surgically altered anatomy, native papilla, indication for procedure, enteroscopic success, ERCP diagnostic success, overall procedural success, and types of intervention.…”

“…18,20,23,27,28 Two of the studies were based in Germany 25,26 and 1 in the Czech Republic. 24 Threefourths of the studies were retrospective cohort studies (11/15), 18-28 and 1 was a case series. 16 There was a similar number of men (49%) and women in all of the studies combined.…”