TY  - JOUR
A1  - Albert, Jörg Gerhard
A1  - Farnik, Harald
A1  - Friedrich-Rust, Mireen
T1  - Endoscopic retrograde cholangiography with balloon-assisted enteroscopy in a patient with Roux-Y anastomosis: how to reach the papilla and how to enter It
T2  - Video Journal and Encyclopedia of GI Endoscopy
N2  - Operatively altered anatomy might provide a challenge for endoscopic retrograde cholangiopancreatography. However, with the support of the balloon-assisted enteroscopy technique the access route to the biliary system even in long-limb Roux-Y anastomosis is feasible in most cases.
In this video case report, an 81-year-old woman was symptomatic for stone obstruction of the common bile duct (CBD). Complete gastrectomy had been performed in this patient for stomach cancer many years earlier. Balloon-assisted enteroscopy was used for retrograde access of the duodenum via a Roux-Y anastomosis. There was major difficulty in intubating the CBD via the native papilla in this case because access was prevented by the tangential approach of the enteroscope. After performing an incomplete papillectomy, the insertion of a guidewire into the CBD was feasible and the bile duct stone was removed. This article is part of an expert video encyclopedia.
KW  - Ballon-assisted enteroscopy
KW  - Bile duct stone
KW  - Cholangiography
KW  - Cholangiopancreatography
KW  - Double-balloon enteroscopy
KW  - Endoscopic retrograde
KW  - Endoscopic retrograde cholangiopancreatography
KW  - Endoscopy
KW  - gastrointestinal
KW  - Enteroscopy
KW  - Postoperative anatomy
KW  - Video
Y1  - 2013
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/76863
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-768635
SN  - 2212-0971
VL  - 1
IS  - 2
SP  - 458
EP  - 459
PB  - Elsevier
CY  - Amsterdam
ER  -