Case Series of ERCP and EST with Rotatable Papillotome (Autotome(R)) in Patients with Billoth II Gastrectomy.
- Author:
Yong Hun KIM
1
;
Chang Il KWON
;
Dae Young KIM
;
Myung Su SON
;
Kwang Hyun KO
;
Sung Pyo HONG
;
Seong Gyu HWANG
;
Pil Won PARK
;
Kyu Sung RIM
Author Information
1. Department of Internal Medicine, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Seongnam, Korea. mdkwon71@freechal.com
- Publication Type:Case Report
- Keywords:
Gastrectomy;
Gastroenterostomy;
Endoscopic retrograde cholaniopancreatography;
Endoscopic sphincterotomy;
Papillotomy
- MeSH:
Cholangiopancreatography, Endoscopic Retrograde*;
Diagnosis;
Gastrectomy*;
Gastroenterostomy;
Humans;
Pancreatic Diseases;
Sphincterotomy, Endoscopic
- From:Korean Journal of Gastrointestinal Endoscopy
2007;35(6):445-450
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST) are the mainstays of the diagnosis and treatment of variable hepatobiliary and pancreatic diseases. The success rate of ERCP and EST in patients who have undergone a Billroth II gastrectomy is lower than in patients with a normal anatomy. Because the view of the ampulla is rotated 180o in patients with Billroth II, several methods (ex, precut biliary needle-knife papillotome or wire-guided billroth II papillotome) have been used for endoscopic sphincterotomy instead of a pull-type papillotome. Using the recently devised pull-type and rotatable papillotome (Autotome(R)), we performed successful ERCP and EST in 2 patients with a Billroth II gastrectomy without complications.
