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ERCP using double‐balloon endoscopes in patients with Roux‐en‐Y anastomosis
Author(s) -
Ryozawa Shomei,
Iwamoto Sayaka,
Iwano Hirotoshi,
Ishigaki Noriko,
Taba Kumiko,
Sakaida Isao
Publication year - 2009
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-009-0132-4
Subject(s) - roux en y anastomosis , endoscopic retrograde cholangiopancreatography , endoscope , medicine , anastomosis , balloon , surgery , balloon dilatation , general surgery , gastric bypass , pancreatitis , weight loss , obesity
Endoscopic retrograde cholangiopancreatography (ERCP) and associated procedures are difficult to perform in patients with a Roux‐en‐Y reconstruction. Therefore, at present, at many institutions, ERCP is not generally performed for those with a Roux‐en‐Y anastomosis. Methods However, double‐balloon endoscopes (DBEs) have dramatically changed this situation. Results The use of a DBE enables an endoscopic approach into the deeply situated small intestine, which has been difficult with a conventional endoscope. Therefore, ERCP for patients with a Roux‐en‐Y anastomosis has been attempted using a DBE, and good results have been reported. Conclusion The development of DBEs has created the possibility of performing ERCP for patients with Roux‐en‐Y reconstruction in whom an endoscopic approach has conventionally been believed to be difficult.