Usefulness of Forward-Viewing Endoscope for Endoscopic Retrograde Cholangiopancreatography in Patients with Billroth II Gastrectomy

被引：27

作者：

Byun, Jong Won ^{[1
]}

Kim, Jae Woo ^{[1
]}

Sung, Se Yong ^{[1
]}

Jung, Ho Yeon ^{[1
]}

Jeon, Hyo Keun ^{[1
]}

Park, Hong Jun ^{[1
]}

Kim, Moon Young ^{[1
]}

Kim, Hyun Soo ^{[1
]}

Baik, Soon Koo ^{[1
]}

机构：

[1] Yonsei Univ, Wonju Coll Med, Dept Internal Med, 20 Ilsan Ro, Wonju 220701, South Korea

来源：

CLINICAL ENDOSCOPY | 2012年 / 45卷 / 04期

关键词：

Billroth II gastrectomy; Endoscopic retrograde cholangiopancreatography; Forward-viewing endoscope;

D O I：

10.5946/ce.2012.45.4.397

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background/Aims: Patients undergoing Billroth II (B II) gastrectomy are at higher risk of perforation during endoscopic retrograde cholangiopancreatography (ERCP). We assessed the success rate and safety of forward-viewing endoscopic biliary intervention in patients with B II gastrectomy. Methods: A total of 2,280 ERCP procedures were performed in our institution between October 2008 and June 2011. Of these, forward-viewing endoscopic biliary intervention was performed in 46 patients (38 men and 8 women with B II gastrectomy). Wire-guided selective cannulations of the common bile duct using a standard catheter and guide wire were performed in all patients. Results: The success rate of afferent loop entrance was 42 out of 46 patients (91.3%) and of biliary cannulation after the approach of the papilla was 42 out of 42 patients (100%). No serious complications were encountered, except for one case of small perforation due to endoscopic sphincterotomy site injury. Conclusions: When a biliary endoscopist has less experience and patient volume is low, ERCP with a forward-viewing endoscope is preferred because of its ease and safety in all patients with prior B II gastrectomies. Also, forward-viewing endoscope can be used to improve the success rate of biliary intervention in B II patients.

引用

页码：397 / 403

页数：7

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