Copyright
©2014 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Jan 14, 2014; 20(2): 607-610
Published online Jan 14, 2014. doi: 10.3748/wjg.v20.i2.607
Published online Jan 14, 2014. doi: 10.3748/wjg.v20.i2.607
ERCP for patients who have undergone Billroth II gastroenterostomy and Braun anastomosis
Wen-Guang Wu, Jun Gu, Wen-Jie Zhang, Ming-Ning Zhao, Ming Zhuang, Ying-Bin Liu, Xue-Feng Wang, Laboratory of General Surgery and Department of General Surgery, Xinhua Hospital, Affiliated to Shanghai Jiao Tong University, School of Medicine, Shanghai 200092, China
Wen-Guang Wu, Jun Gu, Wen-Jie Zhang, Ming-Ning Zhao, Ming Zhuang, Ying-Bin Liu, Xue-Feng Wang, Institute of Biliary Tract Disease, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
Yi-Jing Tao, Department of Clinical Nutrition, Xinhua Hospital, Affiliated to Shanghai Jiao Tong University, School of Medicine, Shanghai 200092, China
Author contributions: Wu WG, Gu J and Wang XF designed research; Wu WG, Gu J and Wang XF performed research; Zhang WJ and Zhao MN contributed new reagents or analytic tools; Zhuang M, Tao YJ and Liu YB analyzed data; Wu WG, Gu J and Wang XF wrote the paper; Wu WG and Gu J contributed equally to this work.
Supported by Shanghai Education Commission Scientific Research and Innovation Project, No. 11YZ55
Correspondence to: Xue-Feng Wang, MD, Laboratory of General Surgery and Department of General Surgery, Xinhua Hospital, Affiliated to Shanghai Jiao Tong University, School of Medicine, No. 1665 Kongjiang Road, Shanghai 200092, China. wxxfd@live.cn
Telephone: +86-21-25076880 Fax: +86-21-25076880
Received: September 13, 2013
Revised: November 21, 2013
Accepted: December 3, 2013
Published online: January 14, 2014
Processing time: 128 Days and 0.7 Hours
Revised: November 21, 2013
Accepted: December 3, 2013
Published online: January 14, 2014
Processing time: 128 Days and 0.7 Hours
Core Tip
Core tip: We recommend extending the duodenoscope along the greater curvature of the stomach and then advancing it through the “lower entrance” at the site of the gastrojejunal anastomosis, along the efferent loop, and through the “middle entrance” at the site of the Braun anastomosis to reach the papilla of Vater. We believe that this enterography route for endoscopic retrograde cholangiopancreatography is optimal for a patient who has undergone Billroth II gastroenterostomy and Braun anastomosis and helps to increase the success rate of the procedure.