Endoscopic retrograde cholangiopancreatography after Billroth Ⅱ gastrectomy

VernacularTitle:Billroth Ⅱ式胃切除术后患者ERCP诊治
Author: Xuefeng WANG ; Jiawei MEI ; Wenjie ZHANG ; Jun GU ; Ming ZHUANG ; Weibin SHI ; Wei GONG ; Yong ZHANG
Publication Type:Journal Article
Keywords: Gastrectomy; Cholangiopancreatography,endoscopic retrograde; Billroth Ⅱ; Therapy
From: Chinese Journal of Digestive Endoscopy 2010;27(9):451-453
CountryChina
Language:Chinese
Abstract: Objective To evaluate the success rate, safety and efficacy of endoscopic retrograde cholangiopancreatography (ERCP) after Billroth Ⅱ gastrectomy. Methods Data of 75 patients with biliary disease after Billroth Ⅱ gastrectomy, who underwent ERCP from January 2007 to November 2009, were retrospectively analyzed. Results In 75 patients, afferent loop intubation was achieved in 69 (92%) and selective cannulation of bile duct were successful in 68 (68/69, 98. 5%). Diagnostic procedures were carried out in 3 patients, and therapeutic in 65 others, which included EST plus stone removal and ENBD in 16, ERBD in 19, EMBE in 18 and EBD plus stone removal and ENBD in 12. Afferent loop perforation occurred in 1 patient (1.3%) and was treated surgically, and 2 acute pancreatitis (2. 6%) were treated conservatively.There was no complication of bleeding. Conclusion ERCP after Billroth Ⅱ gastrectomy is safe and efficiency for biliary disease.