Recent Advances of Interventional Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound for Patients with Surgically Altered Anatomy
Endoscopic retrograde cholangiopancreatography (ERCP) is considered to be the gold standard for diagnosis and interventions in biliopancreatic diseases. However, ERCP in patients with surgically altered anatomy (SAA) appears to be more difficult compared to cases with normal anatomy. Since the produ...
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MDPI AG
2021-04-01
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author | Yuki Tanisaka Masafumi Mizuide Akashi Fujita Tomoya Ogawa Masahiro Suzuki Hiromune Katsuda Youichi Saito Kazuya Miyaguchi Tomoaki Tashima Yumi Mashimo Shomei Ryozawa |
author_facet | Yuki Tanisaka Masafumi Mizuide Akashi Fujita Tomoya Ogawa Masahiro Suzuki Hiromune Katsuda Youichi Saito Kazuya Miyaguchi Tomoaki Tashima Yumi Mashimo Shomei Ryozawa |
author_sort | Yuki Tanisaka |
collection | DOAJ |
description | Endoscopic retrograde cholangiopancreatography (ERCP) is considered to be the gold standard for diagnosis and interventions in biliopancreatic diseases. However, ERCP in patients with surgically altered anatomy (SAA) appears to be more difficult compared to cases with normal anatomy. Since the production of a balloon enteroscope (BE) for small intestine disorders, BE had also been used for biliopancreatic diseases in patients with SAA. Since the development of BE-assisted ERCP, the outcomes of procedures, such as stone extraction or drainage, have been reported as favorable. Recently, an interventional endoscopic ultrasound (EUS), such as EUS-guided biliary drainage (EUS-BD), has been developed and is available mainly for patients with difficult cases of ERCP. It is a good option for patients with SAA. The effectiveness of interventional EUS for patients with SAA has been reported. Both BE-assisted ERCP and interventional EUS have advantages and disadvantages. The choice of procedure should be individualized to the patient’s condition or the expertise of the endoscopists. The aim of this review article is to discuss recent advances in interventional ERCP and EUS for patients with SAA. |
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last_indexed | 2024-03-10T12:25:16Z |
publishDate | 2021-04-01 |
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spelling | doaj.art-9667c96ae2d14f538ba8dc2789d681b22023-11-21T15:08:44ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01108162410.3390/jcm10081624Recent Advances of Interventional Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound for Patients with Surgically Altered AnatomyYuki Tanisaka0Masafumi Mizuide1Akashi Fujita2Tomoya Ogawa3Masahiro Suzuki4Hiromune Katsuda5Youichi Saito6Kazuya Miyaguchi7Tomoaki Tashima8Yumi Mashimo9Shomei Ryozawa10Department of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298, JapanDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298, JapanDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298, JapanDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298, JapanDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298, JapanDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298, JapanDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298, JapanDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298, JapanDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298, JapanDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298, JapanDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298, JapanEndoscopic retrograde cholangiopancreatography (ERCP) is considered to be the gold standard for diagnosis and interventions in biliopancreatic diseases. However, ERCP in patients with surgically altered anatomy (SAA) appears to be more difficult compared to cases with normal anatomy. Since the production of a balloon enteroscope (BE) for small intestine disorders, BE had also been used for biliopancreatic diseases in patients with SAA. Since the development of BE-assisted ERCP, the outcomes of procedures, such as stone extraction or drainage, have been reported as favorable. Recently, an interventional endoscopic ultrasound (EUS), such as EUS-guided biliary drainage (EUS-BD), has been developed and is available mainly for patients with difficult cases of ERCP. It is a good option for patients with SAA. The effectiveness of interventional EUS for patients with SAA has been reported. Both BE-assisted ERCP and interventional EUS have advantages and disadvantages. The choice of procedure should be individualized to the patient’s condition or the expertise of the endoscopists. The aim of this review article is to discuss recent advances in interventional ERCP and EUS for patients with SAA.https://www.mdpi.com/2077-0383/10/8/1624endoscopic retrograde cholangiopancreatographyaltered anatomyERCPballoon enteroscopesingle balloon enteroscopydouble balloon enteroscopy |
spellingShingle | Yuki Tanisaka Masafumi Mizuide Akashi Fujita Tomoya Ogawa Masahiro Suzuki Hiromune Katsuda Youichi Saito Kazuya Miyaguchi Tomoaki Tashima Yumi Mashimo Shomei Ryozawa Recent Advances of Interventional Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound for Patients with Surgically Altered Anatomy Journal of Clinical Medicine endoscopic retrograde cholangiopancreatography altered anatomy ERCP balloon enteroscope single balloon enteroscopy double balloon enteroscopy |
title | Recent Advances of Interventional Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound for Patients with Surgically Altered Anatomy |
title_full | Recent Advances of Interventional Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound for Patients with Surgically Altered Anatomy |
title_fullStr | Recent Advances of Interventional Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound for Patients with Surgically Altered Anatomy |
title_full_unstemmed | Recent Advances of Interventional Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound for Patients with Surgically Altered Anatomy |
title_short | Recent Advances of Interventional Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound for Patients with Surgically Altered Anatomy |
title_sort | recent advances of interventional endoscopic retrograde cholangiopancreatography and endoscopic ultrasound for patients with surgically altered anatomy |
topic | endoscopic retrograde cholangiopancreatography altered anatomy ERCP balloon enteroscope single balloon enteroscopy double balloon enteroscopy |
url | https://www.mdpi.com/2077-0383/10/8/1624 |
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