지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 452 - 457 (6page)
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초록· 키워드
오류제보하기
Patients with altered anatomy such as a Roux-en-Y anastomosis often present with various pancreaticobiliary problems requiring therapeutic intervention. However, a conventional endoscopic approach to the papilla is very difficult owing to the long afferent limb and acute angle of a Roux-en-Y anastomosis. Balloon-assisted enteroscopy can be used for endoscopic retrograde cholangiopancreatography (ERCP) in patients with altered anatomy. We experienced six cases of Roux-en-Y anastomosis with biliary problems, and attempted ERCP using single balloon enteroscopy (SBE). SBE insertion followed by replacement with a conventional endoscope was attempted in five of six patients. The papilla was successfully approached using SBE in all cases. However, therapeutic intervention was completed in only three cases because of poor maneuverability caused by postoperative adhesion. We conclude that in patients with Roux-en-Y anastomosis, the ampulla can be readily accessed with SBE, but longer dedicated accessories are necessary to improve this therapeutic intervention.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Elton E / 1998 / Diagnostic and therapeutic ERCP using an enteroscope and a pediatric colonoscope in long-limb surgical bypass patients / Gastrointest Endosc 47 : 62 ~ 67
Emmett DS / 2007 / Double-balloon ERCP in patients who have undergone Roux-en-Y surgery: a case series / Gastrointest Endosc 66 : 1038 ~ 1041
Hintze RE / 1997 / Endoscopic access to the papilla of Vater for endoscopic retrograde cholangiopancreatography in patients with billroth II or Roux-en-Y gastrojejunostomy /
Ho-Seok Ki / 2015 / Feasibility of Cap-Assisted Endoscopic Retrograde Cholangiopancreatography in Patients with Altered Gastrointestinal Anatomy / Gut and Liver 9 (1) : 109
Itoi T / 2010 / Single-balloon enteroscopy-assisted ERCP in patients with Billroth II gastrectomy or Roux-en-Y anastomosis / Am J Gastroenterol 105 : 93 ~ 99
Emmett DS / 2007 / Double-balloon ERCP in patients who have undergone Roux-en-Y surgery: a case series / Gastrointest Endosc 66 : 1038 ~ 1041
Hintze RE / 1997 / Endoscopic access to the papilla of Vater for endoscopic retrograde cholangiopancreatography in patients with billroth II or Roux-en-Y gastrojejunostomy /
Ho-Seok Ki / 2015 / Feasibility of Cap-Assisted Endoscopic Retrograde Cholangiopancreatography in Patients with Altered Gastrointestinal Anatomy / Gut and Liver 9 (1) : 109
Itoi T / 2010 / Single-balloon enteroscopy-assisted ERCP in patients with Billroth II gastrectomy or Roux-en-Y anastomosis / Am J Gastroenterol 105 : 93 ~ 99
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