A comparative study of selective intubation methods for endoscopic retrograde cholangiopancreatography after Roux-en-Y anastomosis (with video)
10.3760/cma.j.cn321463-20231213-00585
- VernacularTitle:Roux-en-Y吻合术后内镜逆行胰胆管造影术选择性插管的方法对比（含视频）
- Author:
Qifeng LOU
1
;
Hangbin JIN
;
Jianfeng YANG
;
Wencong MA
;
Xiaofeng ZHANG
Author Information
1. 杭州市第一人民医院消化内科，杭州 310006
- Keywords:
Cholangiopancreatography, endoscopic retrograde;
Chololithiasis;
Roux-en-Y anastomosis
- From:
Chinese Journal of Digestive Endoscopy
2024;41(6):479-483
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the safety and efficacy of two-person and three-person operation of endoscopic retrograde cholangiopancreatography (ERCP) after Roux-en-Y anastomosis.Methods:A total of 31 cases of bile duct stones where endoscopic access was successful and papilla was detected after Roux-en-Y anastomosis in Hangzhou First People's Hospital from January 2021 to September 2022 were recruited. Based on the retrospective study, 17 patients with the two-person operation (an operator and an assistant completed selective intubation) were included in group A from January to December 2021, and 14 patients with the three-person operation (an operator and two assistants completed the selective intubation) from January to September 2022 were included in group B. The success rate, the time of intubation, and complication incidence of the two groups were compared.Results:The intubation success rate of all enrolled patients was 90.32% (28/31). There was no significant difference in the intubation success rate between group A and group B [82.35% (14/17) VS 100.00% (14/14), P=0.232]. The intubation time in group B was significantly less than that of group A (42.89±6.57 min VS 61.02±9.23 min) with significant difference ( t=5.77, P<0.001). The incidence of postoperative complication of ERCP in all enrolled patients was 16.13% (5/31). There was no significant difference in the postoperative complication incidence between group A and group B [17.65% (3/17) VS 14.29% (2/14), P=1.000]. Conclusion:For patients undergoing ERCP after Roux-en-Y anastomosis, the two methods were not statistically different in terms of the intubation success rate and the incidence of procedure-related complications. But three-person operation shows clear advantage in terms of operation time.
