Which scope is appropriate for endoscopic retrograde cholangiopancreatography after Billroth II reconstruction: An esophagogastroduodenoscope or a colonoscope?
Billroth II reconstruction
Colonoscope
Endoscopic retrograde cholangiopancreatography
Esophagogastroduodenoscope
Journal
World journal of gastrointestinal endoscopy
ISSN: 1948-5190
Titre abrégé: World J Gastrointest Endosc
Pays: United States
ID NLM: 101532474
Informations de publication
Date de publication:
16 Aug 2020
16 Aug 2020
Historique:
received:
21
03
2020
revised:
19
05
2020
accepted:
19
07
2020
entrez:
4
9
2020
pubmed:
4
9
2020
medline:
4
9
2020
Statut:
ppublish
Résumé
Recently, with the advent of more advanced devices and endoscopic techniques, endoscopic retrograde cholangiopancreatography (ERCP) in Billroth II (B-II) patients has been increasingly performed. However, the procedures are difficult, and the techniques and strategies have not been defined. To reveal the appropriate scope for ERCP in B-II patients. Sixty ERCP procedures were performed on B-II patients between June 2005 and May 2018 at Fukushima Medical University Hospital, and in 44 cases, this was the first ERCP procedure performed by esophagogastroduodenoscopy (EGDS) or colonoscopy (CS) after B-II gastrectomy. These cases were divided into two groups: 17 cases of ERCP performed by EGDS (EGDS group) and 27 cases of ERCP performed by CS (CS group). The patient characteristics and ERCP procedures were compared between the EGDS and CS groups. The procedural time was significantly shorter in the EGDS group than in the CS group [median (range): 60 (20-100) Compared to CS, EGDS shortened the procedural time of ERCP in B-II patients.
Sections du résumé
BACKGROUND
BACKGROUND
Recently, with the advent of more advanced devices and endoscopic techniques, endoscopic retrograde cholangiopancreatography (ERCP) in Billroth II (B-II) patients has been increasingly performed. However, the procedures are difficult, and the techniques and strategies have not been defined.
AIM
OBJECTIVE
To reveal the appropriate scope for ERCP in B-II patients.
METHODS
METHODS
Sixty ERCP procedures were performed on B-II patients between June 2005 and May 2018 at Fukushima Medical University Hospital, and in 44 cases, this was the first ERCP procedure performed by esophagogastroduodenoscopy (EGDS) or colonoscopy (CS) after B-II gastrectomy. These cases were divided into two groups: 17 cases of ERCP performed by EGDS (EGDS group) and 27 cases of ERCP performed by CS (CS group). The patient characteristics and ERCP procedures were compared between the EGDS and CS groups.
RESULTS
RESULTS
The procedural time was significantly shorter in the EGDS group than in the CS group [median (range): 60 (20-100)
CONCLUSION
CONCLUSIONS
Compared to CS, EGDS shortened the procedural time of ERCP in B-II patients.
Identifiants
pubmed: 32879657
doi: 10.4253/wjge.v12.i8.220
pmc: PMC7443825
doi:
Types de publication
Journal Article
Langues
eng
Pagination
220-230Informations de copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
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