초심자에서 투명캡 장착 직시경을 이용한 ERCP
- Alternative Title
- Cap-assisted ERCP in Surgically Altered Anatomy
- Abstract
- Background/Aims: Endoscopic retrograde cholangiopancreatography (ERCP) is a difficult procedure to perform on patients who have undergone a Billroth II gastrectomy, Whipple’s operation or Roux-en-Y gastrobypass surgery. Our study was designed to evaluate the clinical usefulness of cap-assisted ERCP for beginner endoscopists in cases of surgically altered anatomy.
Methods: From April 2008 to March 2010, 16 patients with biliary diseases and who had previously undergone abdominal surgery such as Billroth II gastrectomy or Roux-en-Y operation were analyzed. A single endoscopist performed all the procedures using a cap-assisted gastroscope, after ERCP training.
Results: Cap-assisted ERCP was attempted in 24 sessions of 16 patients. Afferent loop intubation and selective bile duct cannulation was successfully achieved in 19 sessions (79.1%). Among the patients who had undergone a Billroth II gastrectomy, 19 out of 20 sessions were successfully conducted. Only 4 patients who had undergone a previous Roux-en-Y operation failed afferent loop intubation. Duodenal free wall perforation developed in one case. There were no cases of mortality.
Conclusions: Therapeutic cap-assisted ERCP was useful in patients who had previously undergone a Billroth II gastrectomy and this may be helpful for inexperienced endoscopists.
- All Author(s)
- 박은서
; 이태훈
; 박상흠
; 고규봉
; 손범석
; 심윤숙
; 이세환
; 김홍수
; 김선주
- Issued Date
- 2010
- Type
- Article
- Keyword
- ERCP; Cap-assisted ERCP; Billroth II; Roux-en-Y anastomosis
- Publisher
- 대한소화기내시경학회
- ISSN
- 2234-2400
- Citation Title
- Korean Journal of Gastrointestinal Endoscopy
- Citation Volume
- 41
- Citation Number
- 6
- Citation Start Page
- 344
- Citation End Page
- 349
- Language(ISO)
- kor
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/566
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