ERCP in patients with prior BillrothⅡgastrectomy

VernacularTitle:毕Ⅱ式胃切除术后患者的十二指肠镜治疗（含视频）
Author: Zheng JIN ; Yi LU ; Jiachuan WU ; Biao GONG
Publication Type:Journal Article
Keywords: Cholangiopancreatography,endoscopic retrograde; Gastrectomy; Gastroenterosto-my; Duodenoscope
From: Chinese Journal of Digestive Endoscopy 2015;(9):604-607
CountryChina
Language:Chinese
Abstract: Objective To evaluate the efficacy and safety of endoscopic retrograde cholangiopancre-atography (ERCP)by using a duodenoscope in patients with prior Billroth Ⅱ gastrectomy.Methods Data of 98 patients(including 7 who underwent Billroth Ⅱand Braun)with prior Billroth Ⅱ gastrectomy who un-derwent ERCP from January 2008 to May 2014 at Endoscopy Center of Ruijin Hospital were retrospectively studied.Results A total of 98 patients accepted 111 ERCP procedures,the overall success rate was 75.7%(84 /111).The success rate of accessing Vater′s papilla was 82.0%(91 /111)and the selective can-nulations success rate was 92.3%(84 /91).In the cases of successful access,therapeutic procedures were achieved in 100.0%(84 /84)of all patients.The overall rate of complications was 4.5%(5 /111),with mild post-procedure pancreatitis occurring in 3 cases,cholangitis in 2 cases,respectively.Conclusion ERCP u-sing a duodenoscope can be safely and effectively performed in patients with prior Billroth Ⅱ gastrectomy with high cannulation and treatment success rates.