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Single balloon enteroscopy for endoscopic retrograde cholangiography in patients with Roux-en-Y hepaticojejuno anastomosis

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World Journal of Gastroenterology 2013年第44期19卷 8047-8055页

作者： Bohuslav Kianika Jan Lata ivo novotny Petr Dítě Jirí Vaníek 2nd Clinic of Internal Medicine Department of Gastroenterology St. Anne’s University Hospital Brno 656 91 Brno Czech Republic University of Ostrava Faculty of Medicine 703 00 Ostrava Czech Republic Department of Gastroenterology Masaryk Memorial Cancer Institute 602 00 Brno Czech Republic Academic Centre of Digestive Oncology Faculty of Medicine University of Ostrava 703 00 Ostrava Czech Republic Department of Diagnostic Imaging and International Clinical Research Center (ICRC) St. Anne’s University Hospital Brno 656 91 Brno Czech Republic

AIM:To evaluate single balloon enteroscopy in diagnostic and therapeutic endoscopic retrograde cholangiography(ERC)in patients with Roux-en-Y hepaticojejunoanastomosis(HJA).METHODS:The study took place from January 2009to December 2011 and we retrospectively assessed 15patients with Roux-en-Y HJA who had signs of biliary *** total,23 ERC procedures were performed in these patients and a single balloon videoen-teroscope(Olympus SIF Q 180)was used in all of the cases.A transparent overtube was drawn over the videoenteroscope and it freely moved on the working part of the *** distal end was equipped with a silicone balloon that was inflated by air from an external pump at a pressure of≤5.4 *** technical limitations or rather the parameters of the single balloon enteroscope(working length-200 cm,diameter of the working channel-2.8 mm,absence of Albarran bridge)showed the need for special endoscopic ***:Cannulation success was reached in diagnostic ERC in 12 of 15 *** findings were normal in 1 of 12 *** in the remaining 11 patients showed some pathological *** of these(cystic bile duct dilation)was subsequently resolved *** treatment was initialized in the remaining 10 patients(5 with HJA stenosis,2 with choledocholithiasis,and 3 with both).This treatment was successful in 9 of 10 *** endoscopic therapeutic procedures included:balloon dilatation of HJA stenosis-11 times(7 patients);choledocholitiasis extraction-five times(5 patients);biliary plastic stent placement-six times(4 patients);and removal of biliary stents placed by us-six times(4 patients).The mean time of performing a single ERC was 72 *** longest procedure took 110 min and the shortest took34 *** shows that it is necessary to allow for more time in individual ***,these procedures require the presence of an *** did not observe any complications in these 15 ***

关键词： Single balloon enteroscopy Endoscopic retrograde cholangiography Roux-Y hepaticojejunoanastomosis Endoscopic diagnosis Endoscopic treatment

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