کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3254259 | 1207190 | 2012 | 11 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Altered anatomy: Enteroscopy and ERCP procedure Altered anatomy: Enteroscopy and ERCP procedure](/preview/png/3254259.png)
Roux-en-Y entero-enteric anastomosis of the small bowel is a commonly used surgical technique. However, it excludes the afferent limb and the biliopancreatic system from conventional endoscopic access. Recent data have shown that device-assisted enteroscopy (DAE) allows endoscopic retrograde cholangiopancreatography (ERCP) in these patients with high success rates. Both Double-balloon, short Double-balloon, Single-balloon and Spiral enteroscopy can be used for DAE-ERCP with comparable success. This review highlights the currently available literature data on DAE-ERCP in patients with Roux-en-Y anastomosis, and discusses the clinical aspects and technical difficulties. Although DAE does increase ERCP efficacy in patients with Roux-en-Y anastomosis, it remains a challenging procedure which is open to further improvement.
Journal: Best Practice & Research Clinical Gastroenterology - Volume 26, Issue 3, June 2012, Pages 347–357