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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Main Authors: Yuki Tanisaka, Masafumi Mizuide, Akashi Fujita, Tomoya Ogawa, Masahiro Suzuki, Hiromune Katsuda, Youichi Saito, Kazuya Miyaguchi, Tomoaki Tashima, Yumi Mashimo, Shomei Ryozawa
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/8/1624
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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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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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