Therapeutic endoscopic retrograde cholangiopancreatography using an anterior oblique-viewing endoscope for bile duct stones in patients with prior Billroth II gastrectomy

Nakahara, Kazunari; Horaguchi, Jun; Fujita, Naotaka; Noda, Yutaka; Kobayashi, Go; Ito, Kei; Obana, Takashi; Takasawa, Osamu

doi:10.1007/s00535-008-2299-x

Cited by 39 publications

(35 citation statements)

References 21 publications

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“…6. In Billroth-2 and in pylorus-preserving pancreatoduodenectomy (PPPD) endoscopic retrograde cholangiography (ERC) is successful with use of conventional endoscopes such as duodenoscope or forward viewing enteroscope in 80-90% of cases [39][40][41][42] , but in Roux-Y anatomy, access rates are low with these A C B D Figure 5. removal of a foreign body from a small bowel diverticulum by Be.…”

Section: Balloon-enteroscopy For Erc In Surgical Modification Of the mentioning

confidence: 99%

Interventional balloon-enteroscopy

Albert¹

2012

jig

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Section: Balloon-enteroscopy For Erc In Surgical Modification Of the mentioning

confidence: 99%

Interventional balloon-enteroscopy

Albert¹

2012

jig

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“…Moreover, complications such as perforation during insertion can occur in patients with postoperative adhesions. All relevant reports are case series, and they document 54-62% success in reaching the papilla and 100% treatment success in patients with previous Roux-en-Y anastomosis [149][150][151][152], and corresponding rates of 89% and 100% in patients with previous Billroth II gastrectomy [153][154][155][156][157]. These ERCP case series included only a small number of Roux-en-Y anastomosis patients (6 of 32 procedures) and Billroth II gastrectomy patients (9 of 43 procedures); no serious complications were reported.…”

Section: Commentarymentioning

confidence: 99%

Evidence-based clinical practice guidelines for cholelithiasis 2016

Tazuma

Unno²,

Igarashi³

et al. 2016

J Gastroenterol

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Cholelithiasis is one of the commonest diseases in gastroenterology. Remarkable improvements in therapeutic modalities for cholelithiasis and its complications are evident. The Japanese Society of Gastroenterology has revised the evidence-based clinical practice guidelines for cholelithiasis. Forty-three clinical questions, for four categories-epidemiology and pathogenesis, diagnosis, treatments, and prognosis and complications-were selected, and a literature search was performed for the clinical questions with use of the MEDLINE, Cochrane, and Igaku Chuo Zasshi databases for the period between 1983 and June 2012. The guidelines were developed with use of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. This article preferentially describes the clinical management of cholelithiasis and its complications. Following description of the diagnosis performed stepwise through imaging modalities, treatments of cholecystolithiasis, choledocholithiasis, and hepatolithiasis are introduced along with a flowchart. Since there have been remarkable improvements in endoscopic treatments and surgical techniques, the guidelines ensure flexibility in choices according to the actual clinical environment. The revised clinical practice guidelines are appropriate for use by clinicians in their daily practice.

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“…To improve this technical success rate, a pediatric colonoscope [8], a duodenoscope [8,9], and an anterior oblique-viewing endoscope [10,11] have been used instead of the conventional front-viewing enteroscope [12]. Balloon enteroscopy has enabled endoscopists to access the papilla or biliopancreatoenteric anastomoses more definitively and safely [2][3][4][5], and has been commonly performed as the initial attempt to manage several postoperative disorders, in patients with not only Roux-en-Y reconstruction but also prior PD and Billroth II gastrectomy.…”

Section: Discussionmentioning

confidence: 99%