Double-channel forward-view endoscopy for lower-position biliary obstruction after Billroth-Ⅱ gastrectomy

VernacularTitle:双通道直视胃镜治疗毕Ⅱ式胃大部切除术后低位胆道梗阻的疗效评价
Author: Guoxin WANG ; Xiang LIU ; Sheng WANG ; Nan GE ; Jintao GUO ; Wen LIU ; Siyu SUN
Publication Type:Journal Article
Keywords: Billroth-Ⅱ gastrectomy; Low-level biliary obstruction; Double-channel forward-view endosopes; Endoscopic treatment
From: Chinese Journal of Digestive Endoscopy 2014;31(3):140-142
CountryChina
Language:Chinese
Abstract: Objective To evaluate the clinical effects and safety of double-channel forward-view endoscopy for lower-position biliary obstruction after Billroth-Ⅱ gastrectomy.Methods A total of 18 patients with lower-position biliary obstruction after Billroth-Ⅱ gastrectomy were enrolled and treated with doublechannel forward-view endoscopy.The process and the outcomes were recorded.Effectiveness and safety were evaluated.Results Double-channel forward-view endoscopic treatment was successfully performed in 13 of the 18 patients (72％),with stone removal or stents implantion to resolve biliary obstruction.The procedure failed in 5 patients,who were transferred to surgery or underwent percutaneous transhepatic cholangial drainage.Delayed bleeding occurred in 1 patient,and pancreatitis in 2,who were cured after standard treatments.Conclusion Double-channel forward-view endoscopy is effective and safe for lower-position biliary obstruction in patients after Billroth-Ⅱ gastrectomy.