Challenges in ERCP post-Billroth II gastrectomy: Is it the scope, tools or technique?

The limitations inherent to altered anatomy include the inability to reach the papilla due to the surgically altered gastroduodenal anatomy, the failure to cannulate the desired duct or to provide therapy because of the change in orientation of the papilla, use of forward viewing scopes, lack of ele...

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Bibliographic Details
Published inSaudi journal of gastroenterology Vol. 25; no. 6; pp. 333 - 334
Main Authors El Hajj, Ihab, Al-Haddad, Mohammad
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer India Pvt. Ltd 01.11.2019
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Subjects
Cholangiopancreatography, Endoscopic Retrograde
Endoscopic retrograde cholangiopancreatography
Gastrectomy
Gastroenterostomy
Methods
Ostomy
Plastic surgery
Studies
Success
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Summary:The limitations inherent to altered anatomy include the inability to reach the papilla due to the surgically altered gastroduodenal anatomy, the failure to cannulate the desired duct or to provide therapy because of the change in orientation of the papilla, use of forward viewing scopes, lack of elevator, smaller therapeutic channel, difficult endoscope position and/or limited availability of devices. The study expands the growing body of literature on this issue and summarizes the results of a single-center retrospective study that included 308 patients (391 procedures). [...]future dedicated accessory material needs to be developed and validated in prospective cohorts.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Editorial-2
ObjectType-Commentary-1
ISSN:1319-3767
1998-4049
DOI:10.4103/sjg.SJG_583_19