Endoscopic retrograde cholangiography with balloon-assisted enteroscopy in a patient with Roux-Y anastomosis: how to reach the papilla and how to enter It
- 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.
Author: | Jörg Gerhard AlbertORCiDGND, Harald FarnikGND, Mireen Friedrich-RustORCiDGND |
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URN: | urn:nbn:de:hebis:30:3-768635 |
DOI: | https://doi.org/10.1016/S2212-0971(13)70205-X |
ISSN: | 2212-0971 |
Parent Title (English): | Video Journal and Encyclopedia of GI Endoscopy |
Publisher: | Elsevier |
Place of publication: | Amsterdam |
Document Type: | Article |
Language: | English |
Year of Completion: | 2013 |
Year of first Publication: | 2013 |
Publishing Institution: | Universitätsbibliothek Johann Christian Senckenberg |
Release Date: | 2023/10/05 |
Tag: | Ballon-assisted enteroscopy; Bile duct stone; Cholangiography; Cholangiopancreatography; Double-balloon enteroscopy; Endoscopic retrograde; Endoscopic retrograde cholangiopancreatography; Endoscopy; Enteroscopy; Postoperative anatomy; Video; gastrointestinal |
Volume: | 1 |
Issue: | 2 |
Page Number: | 2 |
First Page: | 458 |
Last Page: | 459 |
HeBIS-PPN: | 51365738X |
Institutes: | Medizin |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Sammlungen: | Universitätspublikationen |
Licence (German): | Creative Commons - CC BY-NC-ND - Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International |