Single Balloon Enteroscopy Assisted Endoscopic Retrograde Cholangiopancreatography and Precut Sphincterotomy for Treatment of Retained Common Bile Duct Stone in Billroth II Gastrectomy Patients

Authors

  • Thawatchai Akaraviputh Siriraj GI Endoscopy Center, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Somchai Leelakusolvong Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Nonthalee Pausawasdi Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Asada Methasate Siriraj GI Endoscopy Center, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Wichit Srikureja Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Kazuo Ohtsuka Digestive Disease Center, Showa University, Northern Yokohama Hospital, Japan

Abstract

Performing Endoscopic Retrograde Cholangiopancreaticography (ERCP) with a standard duodenoscope in a patient having a surgically altered anatomy such as Billroth II gastrectomy or Roux-en-Y anastomosis can be technically challenging and sometimes impossible. Thus ERCP has a low success rate in these patients.1-3 It may be easier to identify the afferent limb using end-viewing endoscope than sideviewing endoscope.4 Single-balloon enteroscopy (SBE) may improve the ability to identify the biliary and pancreatic orifice allowing endoscopists to perform intervention.5

References

1. Bergmann JJ, Berkel A, Bruno MJ, et al. A randomized trial of
endoscopic balloon dilatation and endoscopic sphinctertomy
for removal of bile duct stone in patients with prior Billroth II
gastrectomy. Gastrointest Endosc 2001;53:19-26.

2. Hintze RE, Adler A, Veltzke W, et al .Endoscopic access to
papilla of vater for ERCP in patients with Billroth II or Roux-en
Y gastrojejunostomy. Endoscopy1997;29:69-73.

3. Osnes M, Rosseland AR, Aabakken L. Endoscopic retrograde
cholangiography and endoscopic papillotomy in patients
with a previous Billroth II resection. Gut 1986;27:1193-8.

4. Silvis SE. Endoscopic retrograde sphinctertomy. In: Silvis SE,
editor. Therapeutic gastrointestinal endoscopy. New York:
Igaku-Shoin1984. p. 198-240.

5. Ohtsuka K, Kashida H, Kodama K, et al. Diagnosis and
treatment of small bowel diseases with a newly developed
single balloon endoscope. Dig Endosc 2008;20:134-7.
vol32no2

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Published

2011-06-30

How to Cite

1.
Akaraviputh T, Leelakusolvong S, Pausawasdi N, Methasate A, Srikureja W, Ohtsuka K. Single Balloon Enteroscopy Assisted Endoscopic Retrograde Cholangiopancreatography and Precut Sphincterotomy for Treatment of Retained Common Bile Duct Stone in Billroth II Gastrectomy Patients. Thai J Surg [Internet]. 2011 Jun. 30 [cited 2024 Dec. 23];32(2). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227245

Issue

Vol. 32 No. 2 (2011): April - June

Section

Case Reports

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.