Double-balloon-enteroscopy-based endoscopic retrograde cholangiopancreatography in post-surgical patients

Raithel M, Dormann H, Naegel A, Boxberger F, Hahn E, Neurath M, Maiß J (2011)

Publication Type: Journal article

Publication year: 2011

Journal

World Journal of Gastroenterology Baishideng Publishing Group Co. Limited

Book Volume: 17

Pages Range: 2302-2314

Journal Issue: 18

DOI: 10.3748/wjg.v17.i18.2302

Abstract

AIM: To evaluate double balloon enteroscopy (DBE) in post-surgical patients to perform endoscopic retrograde cholangiopancreatography (ERCP) and interventions. METHODS: In 37 post-surgical patients, a stepwise approach was performed to reach normal papilla or enteral anastomoses of the biliary tract/pancreas. When conventional endoscopy failed, DBE-based ERCP was performed and standard parameters for DBE, ERCP RESULTS: Push-enteroscopy (overall, 16 procedures) reached enteral anastomoses only in six out of 37 post-surgical patients (16.2%). DBE achieved a high rate of luminal access to the biliary tract in 23 of the remaining 31 patients (74.1%) and to the pancreatic duct (three patients). Among all DBE-based ERCPs (86 procedures), 21/23 patients (91.3%) were successfully treated. Interventions included ostium incision or papillotomy in 6/23 (26%) and 7/23 patients (30.4%), respectively. Biliary endoprosthesis insertion and regular exchange was achieved in 17/23 (73.9%) and 7/23 patients (30.4%), respectively. Furthermore, bile duct stone extraction as well as ostium and papillary dilation were performed in 5/23 (21.7%) and 3/23 patients (13.0%), respectively. Complications during DBE-based procedures were bleeding (1.1%), perforation (2.3%) and pancreatitis (2.3%), and minor complications occurred in up to 19.1%. CONCLUSION: The appropriate use of DBE yields a high rate of luminal access to papilla or enteral anastomoses in more than two-thirds of post-surgical patients, allowing important successful endoscopic therapeutic interventions. © 2011 Baishideng. All rights reserved.

Authors with CRIS profile

Martin Raithel Medizinische Fakultät Eckhart Georg Hahn Department of Medicine 1 – Gastroenterology, Pneumology and Endocrinology Markus Neurath Lehrstuhl für Innere Medizin I (Medizin 1)

Involved external institutions

Klinikum Fürth DE Germany (DE)

How to cite

APA:

Raithel, M., Dormann, H., Naegel, A., Boxberger, F., Hahn, E., Neurath, M., & Maiß, J. (2011). Double-balloon-enteroscopy-based endoscopic retrograde cholangiopancreatography in post-surgical patients. World Journal of Gastroenterology, 17(18), 2302-2314. https://doi.org/10.3748/wjg.v17.i18.2302

MLA:

Raithel, Martin, et al. "Double-balloon-enteroscopy-based endoscopic retrograde cholangiopancreatography in post-surgical patients." World Journal of Gastroenterology 17.18 (2011): 2302-2314.

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