ERCP with double-channel endoscope for patients with Billroth-Ⅱ gastroenterostomy
10.3760/cma.j.issn.1007-5232.2014.03.005
- VernacularTitle:双腔前视胃镜治疗毕Ⅱ式胃空肠吻合术后胆胰疾病的临床观察
- Author:
Wei YAO
;
Yonghui HUANG
;
Hong CHANG
;
Xuebiao HUANG
;
Ke LI
- Publication Type:Journal Article
- Keywords:
Cholangiopancreatography,endoscopic retrograde;
Billroth-Ⅱ gastroenterostomy;
Double-channel endoscope
- From:
Chinese Journal of Digestive Endoscopy
2014;31(3):137-139
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the therapeutic effect and safety of forward-viewing,doublechannel endoscope in the process of ERCP in patients with bile duct diseases after Billroth-Ⅱ gastroenterostomy.Methods ERCP was applied to 46 patients with bile duct diseases using forward-viewing,doublechannel endoscope.All patients had the history of Billroth-Ⅱ gastroenterostomy.The success rate of selective cannulation,complication rate and the outcome of all the patients were recorded.Results The procedure succeeded in 38 patients with a success rate of 82.6％,and failed in 8.Of all the failing cases,the afferent loop couldn't be accessed in 6,failure in biliary cannulation in 2.Of 38 successful cases,bile duct stones were successfully removed in 31,metal stents placed for malignant bile duct obstruction in 4,and endoscopic balloon dilation for benign common bile duct stricture in 3.All patients recovered without complications of perforation,delayed bleeding or pancreatitis.Conclusion For patients with history of Billroth-Ⅱgastroenterostomy,ERCP with forward-viewing,double-channel endoscope yields to a higher success rate and lower complication rate.
