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

doi:10.3748/wjg.v19.i44.8047

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Brief Article

World J Gastroenterol. Nov 28, 2013; 19(44): 8047-8055
Published online Nov 28, 2013. doi: 10.3748/wjg.v19.i44.8047

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

Bohuslav Kianička, Jan Lata, Ivo Novotný, Petr Dítě, Jiří Vaníček

Bohuslav Kianička, 2^nd Clinic of Internal Medicine, Department of Gastroenterology, St. Anne’s University Hospital Brno, 656 91 Brno, Czech Republic

Jan Lata, University of Ostrava, Faculty of Medicine, 703 00 Ostrava, Czech Republic

Ivo Novotný, Department of Gastroenterology, Masaryk Memorial Cancer Institute, 602 00 Brno, Czech Republic

Petr Dítě, Academic Centre of Digestive Oncology, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic

Jiří Vaníček, Department of Diagnostic Imaging and International Clinical Research Center (ICRC), St. Anne’s University Hospital Brno, 656 91 Brno, Czech Republic

Author contributions: Kianička B, Lata J and Novotný I contributed equally to this work; Kianička B, Lata J, Dítě P and Vaníček J designed the study; Kianička B, Lata J, Novotný I, Dítě P and Vaníček J performed the study; Lata J analyzed the data; Kianička B and Novotný I wrote the manuscript; Lata J and Dítě P revised the manuscript.

Correspondence to: Bohuslav Kianička, MD, PhD, 2^nd Clinic of Internal Medicine, Department of Gastroenterology, St. Anne’s University Hospital Brno, Pekarska 53, 656 91 Brno, Czech Republic. bohuslav.kianicka@fnusa.cz

Telephone: +420-60-4946828 Fax: +420-54-3182307

Received: February 22, 2013
Revised: August 26, 2013
Accepted: September 3, 2013
Published online: November 28, 2013
Processing time: 291 Days and 22.1 Hours

Core Tip

Core tip: Endoscopic retrograde cholangiopancreatography (ERCP) represents a demanding method even in a normal anatomical situation. When a surgically altered gastrointestinal or pancreatobiliary anatomy is present, ERCP becomes even more demanding. Our retrospective study assessed diagnostic and therapeutic endoscopic retrograde cholangiography (ERC) using a single balloon enteroscope in 15 patients with Roux-en-Y hepaticojejunoanastomosis. A comparatively high success rate was achieved in both diagnostic (80%) and therapeutic (90%) ERC. This method is both time-consuming and technically demanding. However, it is an effective and safe method that widens the possibilities of resolving biliary pathology in these conditions.