Single-balloon enteroscopy assisted ERCP for diagnosis and treatment of patients with biliary obstruction after gastrointestinal reconstruction

VernacularTitle:单气囊小肠镜辅助下经内镜逆行胰胆管造影术对胃肠改道术后并发胆道梗阻的诊治价值
Author: Hangbin JIN ; Xiaofeng ZHANG ; Shudan LI ; Jianfeng YANG ; Weigang GU ; Qifeng LOU
Publication Type:Journal Article
Keywords: Cholangiopancreatography,endoscopic retrograde; Single-balloon enteroscopy; Double-balloon enteroscopy
From: Chinese Journal of Digestive Endoscopy 2013;30(9):499-502
CountryChina
Language:Chinese
Abstract: Objective To evaluate the feasibility and safety of performing endoscopic retrograde cholangiopancreatography (ERCP) assisted by single-balloon enteroscopy (SBE) in patients with biliary obstruction after gastrointestinal reconstruction.Methods Clinical data about 7 cases of single-balloon enteroscopy assisted-ERCP (SBE-ERCP) were summarized including the completion of treatment,operation time,and complications for retrospective study.Results The papilla or anastomotic site was reached and therapeutic ERCP were performed successfully in 6 patients.The overall success rate was 85.7％ (6/7),and the mean operation time of SBE-ERCP was 42 min (ranging from 28 to 72 min).The afferent loop and papilla were failed to be confirmed in 1 patient.No complication such as perforation,pancreatitis or bleeding ocurred in all the 7 patients.Conclusion Single-balloon enteroscopy assisted-ERCP (SBE-ERCP) is feasible and relatively safe in postsurgical patients with gastrointestinal reconstruction.