Endoscopic Retrograde Cholangiopancreatography in Post Gastrectomy Patients

Endoscopic retrograde cholangiopancreatography (ERCP) in post-gastrectomy patients with Billroth II (BII) reconstruction and Roux-en-Y (RY) reconstruction presents a challenge to therapeutic endoscopists. Major difficulties, including intubation to the ampulla of Vater, selective cannulation, and am...

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Main Author: Chang-Hwan Park
Format: Article
Language:English
Published: Korean Society of Gastrointestinal Endoscopy 2016-11-01
Series:Clinical Endoscopy
Subjects:
Online Access:http://www.e-ce.org/upload/pdf/ce-2016-124.pdf
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author Chang-Hwan Park
author_facet Chang-Hwan Park
author_sort Chang-Hwan Park
collection DOAJ
description Endoscopic retrograde cholangiopancreatography (ERCP) in post-gastrectomy patients with Billroth II (BII) reconstruction and Roux-en-Y (RY) reconstruction presents a challenge to therapeutic endoscopists. Major difficulties, including intubation to the ampulla of Vater, selective cannulation, and ampullary intervention, must be overcome in these patients. Recent data have shown that device-assisted ERCP allows for high success rates in these patients because various devices are useful for overcoming major difficulties. Therefore, good knowledge of postoperative anatomy and various devices is mandatory before performing ERCP procedures for post-gastrectomy patients.
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spelling doaj.art-9d781faf46264f0b860eeea48a77ee752023-10-02T02:54:42ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432016-11-0149650650910.5946/ce.2016.1246939Endoscopic Retrograde Cholangiopancreatography in Post Gastrectomy PatientsChang-Hwan ParkEndoscopic retrograde cholangiopancreatography (ERCP) in post-gastrectomy patients with Billroth II (BII) reconstruction and Roux-en-Y (RY) reconstruction presents a challenge to therapeutic endoscopists. Major difficulties, including intubation to the ampulla of Vater, selective cannulation, and ampullary intervention, must be overcome in these patients. Recent data have shown that device-assisted ERCP allows for high success rates in these patients because various devices are useful for overcoming major difficulties. Therefore, good knowledge of postoperative anatomy and various devices is mandatory before performing ERCP procedures for post-gastrectomy patients.http://www.e-ce.org/upload/pdf/ce-2016-124.pdfCholangiopancreatography, endoscopic retrogradeBillroth II reconstructionRoux-en-Y reconstruction
spellingShingle Chang-Hwan Park
Endoscopic Retrograde Cholangiopancreatography in Post Gastrectomy Patients
Clinical Endoscopy
Cholangiopancreatography, endoscopic retrograde
Billroth II reconstruction
Roux-en-Y reconstruction
title Endoscopic Retrograde Cholangiopancreatography in Post Gastrectomy Patients
title_full Endoscopic Retrograde Cholangiopancreatography in Post Gastrectomy Patients
title_fullStr Endoscopic Retrograde Cholangiopancreatography in Post Gastrectomy Patients
title_full_unstemmed Endoscopic Retrograde Cholangiopancreatography in Post Gastrectomy Patients
title_short Endoscopic Retrograde Cholangiopancreatography in Post Gastrectomy Patients
title_sort endoscopic retrograde cholangiopancreatography in post gastrectomy patients
topic Cholangiopancreatography, endoscopic retrograde
Billroth II reconstruction
Roux-en-Y reconstruction
url http://www.e-ce.org/upload/pdf/ce-2016-124.pdf
work_keys_str_mv AT changhwanpark endoscopicretrogradecholangiopancreatographyinpostgastrectomypatients