Comparison of endoscopic retrograde cholangiopancreatography assisted with colonoscope and enteroscope in patients with history of Roux-en-Y anastomosis (with video)
10.3760/cma.j.cn321463-20220215-00769
- VernacularTitle:结肠镜和小肠镜辅助下经内镜逆行胰胆管造影术在Roux-en-Y吻合术后患者中的应用比较（含视频）
- Author:
Leilei ZHAO
1
;
Hangbin JIN
;
Jianfeng YANG
;
Weigang GU
;
Xiaofeng ZHANG
Author Information
1. 南京医科大学附属杭州医院消化内科，杭州 310006
- Keywords:
Cholangiopancreatography, endoscopic retrograde;
Anastomosis, Roux-en-Y;
Digestive tract reconstruction;
Single balloon enteroscope
- From:
Chinese Journal of Digestive Endoscopy
2023;40(2):121-125
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy and safety of endoscopic retrograde cholangiopancreatography (ERCP) assisted with colonoscope and enteroscope in patients with history of Roux-en-Y anastomosis.Methods:A retrospective study was performed on the data of 70 patients who underwent ERCP assisted with standard colonoscope or single balloon enteroscope after Roux-en-Y reconstruction in Hangzhou Hospital Affiliated to Nanjing Medical University from January 2017 to December 2020. Patients were divided into the standard colonoscopy group ( n=43) and the single balloon enteroscopy group ( n=27) according to endoscopy. The success rates of insertion, intubation and ERCP, and incidence of complications were compared. Results:A total of 81 ERCP procedures were performed in 70 patients. The insertion success rates of the standard colonoscopy group and the single balloon enteroscopy group were 91.8% (45/49) and 78.1% (25/32), respectively, showing no significant difference ( χ2=2.04, P=0.153). The success rates of primitive papilla intubation in the two groups were 74.1% (20/27) and 1/6, showing significant difference ( P=0.016). The ERCP success rates of the standard colonoscopy group and the single balloon enteroscopy group were 75.5% (37/49) and 59.4% (19/32), showing no significant difference ( χ2=2.36, P=0.124). The post operative complication incidences of the standard colonoscopy group and the single balloon enteroscopy group were 4.1% (2/49) and 9.4% (3/32), showing no significant difference ( χ2=0.25, P=0.620). Conclusion:ERCP assisted with standard colonoscope and single balloon enteroscope is safe and effective in patients after Roux-en-Y anastomosis. Standard colonoscopic ERCP can become an endoscopy solution for patients with biliary tract disease after Roux-en-Y reconstruction.
