Endoscopic Retrograde Cholangiopancreatography and Endoscopic Sphincterotomy in Patients with a Previous Billroth-II Resection.
- Author:
Myung Hwan KIM
;
Sun Young YI
;
Sung Koo LEE
;
Young Il MIN
;
Sung Gyu LEE
;
Pyung Chul MIN
- Publication Type:Original Article
- Keywords:
ERCP;
EST;
Billroth-II resection
- MeSH:
Catheterization;
Cholangiopancreatography, Endoscopic Retrograde*;
Gastrectomy;
Gastroenterostomy;
Humans;
Pancreatic Diseases;
Sphincterotomy, Endoscopic*
- From:Korean Journal of Gastrointestinal Endoscopy
1992;12(2):267-269
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endoscopic retrograde cholangiopancreatography(ERCP) and its therapeutic developments have become popular in the managemtnt of patients with biliary and pancreatic disease. But certain to anatomical arrangements such as Billroth II partial gastrectomy may cause technical difficulty In the patients with a previous Billroth-II resection, it may be difficult to enter the afferent loop Selectively; and to reach and identify the papilla. Cannulation and sphincterotomy are more difficult because of the direction of approach. Endoscopic retrograde cholangiopancreatography(ERCP) and/or endoscopic sphineterotomy (EST) was perfomed on 12 patients, who had received Billroth II gastrectomy. We could achieve successful cholangiogram in 9 patients(75%) out of 12 patients, And EST was done successfully in 5 patients(83%) out of 6 patients.
