scholarly journals Acute Cholangitis following Biliary Obstruction after Duodenal OTSC Placement in a Case of Large Chronic Duodenocutaneous Fistula

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Yaseen Alastal ◽  
Tariq A. Hammad ◽  
Mohamad Nawras ◽  
Basmah W. Khalil ◽  
Osama Alaradi ◽  
...  
Keyword(s):  
Acute Cholangitis ◽  
Eosinophilic Gastroenteritis ◽  
Efficacy And Safety ◽  
Duodenal Stump ◽  
Billroth Ii ◽  
Afferent Limb ◽  
Billroth Ii Gastrectomy ◽  
Close Proximity ◽  
History Of ◽  
Over The Scope Clip

Over-the-Scope Clip system, also called “Bear Claw,” is a novel endoscopic modality used for closure of gastrointestinal defect with high efficacy and safety. We present a patient with history of eosinophilic gastroenteritis and multiple abdominal surgeries including Billroth II gastrectomy complicated by a large chronic duodenocutaneous fistula from a Billroth II afferent limb to the abdominal wall. Bear Claw clip was used for closure of this fistula. The patient developed acute cholangitis one day after placement of the Bear Claw clip. Acute cholangitis due to papillary obstruction is a potential complication of Bear Claw placement at the dome of the duodenal stump (afferent limb) in patient with Billroth II surgery due to its close proximity to the major papilla.

Endoscopic clipping of duodenal stump leakage after Billroth II gastrectomy in gastric cancer patient

2009 ◽  
Vol 100 (1) ◽  
pp. 80-81 ◽  
Author(s):  
Jong Yeul Lee ◽  
Keun Won Ryu ◽  
Soo-Jeong Cho ◽  
Chan Gyoo Kim ◽  
Il Ju Choi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Cancer Patient ◽  
Gastric Cancer Patient ◽  
Duodenal Stump ◽  
Billroth Ii ◽  
Billroth Ii Gastrectomy ◽  
Duodenal Stump Leakage ◽  
Endoscopic Clipping

Acute Cholangitis Complicating Bear Claw Placement for Closure of Duodenocutaneous Fistula from a Billroth II Afferent Limb

2015 ◽  
Vol 110 ◽  
pp. S83
Author(s):  
Yaseen Alastal ◽  
Tariq Hammad ◽  
Mohammad Nawras ◽  
Basmah Khalil ◽  
Osama Alaradi ◽  
...  
Keyword(s):  
Acute Cholangitis ◽  
Billroth Ii ◽  
Afferent Limb

scholarly journals Outcomes and Loop Pattern Analysis of a Road-Map Technique for ERCP with Side-Viewing Duodenoscope in Patients with Billroth II Gastrectomy (with Video)

2021 ◽  
Vol 11 (5) ◽  
pp. 404
Author(s):  
Min Jae Yang ◽  
Jin Hong Kim ◽  
Jae Chul Hwang ◽  
Byung Moo Yoo ◽  
Yu Ji Li ◽  
...  
Keyword(s):  
Bowel Perforation ◽  
Success Rates ◽  
Billroth Ii ◽  
Therapeutic Success ◽  
Afferent Limb ◽  
The Road ◽  
Road Map ◽  
Billroth Ii Gastrectomy ◽  
Axis Alignment ◽  
Loop Pattern

Endoscopic retrograde cholangiopancreatography (ERCP) in patients who have undergone a Billroth II gastrectomy is a major challenge. This study aimed to evaluate the outcomes of the road-map technique for duodenal intubation using a side-viewing duodenoscope for ERCP in Billroth II gastrectomy patients with naïve papilla, and to analyze the formation and release patterns of common bowel loops that occur when the duodenoscope navigates the afferent limb. The duodenoscopy approach success rate was 85.8% (97/113). In successful duodenoscopy approach patients, there were five bowel looping patterns that occurred when the preceding catheter-connected duodenoscope was advanced into the duodenum: (1) reverse ɣ-loop (29.9%), (2) fixed reverse ɣ-loop (5.2%), (3) simple U-loop (22.7%), (4) N-loop (28.9%), and (5) reverse alpha loop (13.4%). The duodenoscopy cannulation and duodenoscopy therapeutic success rates were 81.4% (92/113) and 80.5% (91/113), respectively, while the overall cannulation and therapeutic success rates were 92.0% (104/113) and 87.6% (99/113), respectively. Bowel perforation occurred in three patients (2.7%). The road-map technique may benefit duodenoscope-based ERCP in Billroth II gastrectomy patients by minimizing the tangential axis alignment between the duodenoscopic tip and driving of the afferent limb, and by predicting and counteracting bowel loops that occur when the duodenoscope navigates the afferent limb.

scholarly journals A case of bile duct cancer developing 9 years after treatment of choledocholithiasis in a patient with a history of Billroth II gastrectomy

2014 ◽  
Vol 85 (1) ◽  
pp. 134-135
Author(s):  
Takashi Taida ◽  
Takao Nishikawa ◽  
Toshio Tsuyuguchi ◽  
Masato Nakamura ◽  
Masaru Sakamoto ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Cancer ◽  
Billroth Ii ◽  
Billroth Ii Gastrectomy ◽  
History Of ◽  
Duct Cancer

Treatment of varicose tributaries with sclerotherapy with polidocanol 0.5 % foam

VASA ◽  
2010 ◽  
Vol 39 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Reich-Schupke ◽  
Weyer ◽  
Altmeyer ◽  
Stücker
Keyword(s):  
Scientific Evidence ◽  
Daily Practice ◽  
Severe Adverse Effect ◽  
Safe Procedure ◽  
Efficacy And Safety ◽  
Foam Sclerotherapy ◽  
History Of ◽  
One Year ◽  
Additional Therapy

Background: Although foam sclerotherapy of varicose tributaries is common in daily practice, scientific evidence for the optimal sclerosant-concentration and session-frequency is still low. This study aimed to increase the knowledge on foam sclerotherapy of varicose tributaries and to evaluate the efficacy and safety of foam sclerotherapy with 0.5 % polidocanol in tributaries with 3-6 mm in diameter. Patients and methods: Analysis of 110 legs in 76 patients. Injections were given every second or third day. A maximum of 1 injection / leg and a volume of 2ml / injection were administered per session. Controls were performed approximately 6 months and 12 months after the start of therapy. Results: 110 legs (CEAP C2-C4) were followed up for a period of 14.2 ± 4.2 months. Reflux was eliminated after 3.4 ± 2.7 injections per leg. Insufficient tributaries were detected in 23.2 % after 6.2 ± 0.9 months and in 48.2 % after 14.2 ± 4.2 months, respectively. Only 30.9 % (34 / 110) of the legs required additional therapy. In 6.4 % vein surgery was performed, in 24.5 % similar sclerotherapy was repeated. Significantly fewer sclerotherapy-sessions were required compared to the initial treatment (mean: 2.3 ± 1.4, p = 0.0054). During the whole study period thrombophlebitis (8.2 %), hyperpigmentation (14.5 %), induration in the treated region (9.1 %), pain in the treated leg (7.3 %) and migraine (0.9 %) occurred. One patient with a history of thrombosis developed thrombosis of a muscle vein (0.9 %). After one year there were just hyperpigmentation (8.2 %) and induration (1.8 %) left. No severe adverse effect occurred. Conclusions: Foam sclerotherapy with injections of 0.5 % polidocanol every 2nd or 3rd day, is a safe procedure for varicose tributaries. The evaluation of efficacy is difficult, as it can hardly be said whether the detected tributaries in the controls are recurrent veins or have recently developed in the follow-up period. The low number of retreated legs indicates a high efficacy and satisfaction of the patients.

Surgery for gastric remnant carcinoma following Billroth II gastrectomy

1997 ◽  
Vol 23 (6) ◽  
pp. 518-521 ◽  
Author(s):  
P. Lissens ◽  
L. Filez ◽  
R. Aerts ◽  
A. D'Hoore ◽  
E. Van Cutsem ◽  
...  
Keyword(s):  
Gastric Remnant ◽  
Billroth Ii ◽  
Billroth Ii Gastrectomy
Sign in / Sign up

Export Citation Format

Share Document