scholarly journals Direct Insertion of a Short-Type Single-Balloon Enteroscope and Using a Stent Retriever to Treat Difficult Bile Duct Stones in Surgically Altered Anatomy

2020 ◽  
Author(s):  
Takashi Sasaki ◽  
Naoki Sasahira
Keyword(s):  
Bile Duct ◽  
Stent Retriever ◽  
Bile Duct Stones ◽  
Surgically Altered Anatomy ◽  
Single Balloon ◽  
Short Type

Novel retrieval basket facilitates the extraction of difficult bile duct stones in a patient with surgically altered anatomy

2021 ◽  
Author(s):  
Yuki Tanisaka ◽  
Masafumi Mizuide ◽  
Akashi Fujita ◽  
Tomoya Ogawa ◽  
Masahiro Suzuki ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Stones ◽  
Surgically Altered Anatomy

scholarly journals Transcystic Removal of Common Bile Duct Stones in Surgically Altered Anatomy (Roux-en-Y Gastric Bypass)

2021 ◽  
Vol 12 (03) ◽  
pp. 172-174
Author(s):  
Surakshith K. Thyloor ◽  
Vikas Singla ◽  
Pradeep Chowbey
Keyword(s):  
Gastric Bypass ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Technical Success ◽  
Endoscopic Retrograde ◽  
Technical Success Rate ◽  
Surgically Altered Anatomy ◽  
Retrieval Device

AbstractEndoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy can be technically challenging. Various techniques have been described; however, the technical success rate depends on the type of reconstruction, length of the afferent limb, access to the papilla, availability of accessories, and adequate expertise. We describe successful transcystic removal of common bile duct stones in a patient with Roux-en-Y gastric bypass using cholangioscope and SpyGlass retrieval device at the time of cholecystectomy.

scholarly journals Single Balloon Enteroscopy-Assisted ERCP Using Rendezvous Technique for Sharp Angulation of Roux-en-Y Limb in a Patient with Bile Duct Stones

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Takao Itoi ◽  
Kentaro Ishii ◽  
Atsushi Sofuni ◽  
Fumihide Itokawa ◽  
Toshio Kurihara ◽  
...  
Keyword(s):  
Bile Duct ◽  
Complete Removal ◽  
The Body ◽  
Bile Duct Stones ◽  
Related Complication ◽  
Balloon Enteroscopy ◽  
Rendezvous Technique ◽  
Single Balloon ◽  
Single Balloon Enteroscopy ◽  
Drainage Technique

The acute angulation of Roux-en-Y (R-Y) limb precludes endoscopic access for endoscopic retrograde cholangiopancreatography (ERCP) even using a balloon enteroscopy. Here, we describe a case of successful single balloon enteroscopy (SBE)-assisted ERCP using a rendezvous technique in a patient with sharply angulated R-Y limb in a 79-year-old woman who had bile duct stones. Method. At first, a guidewire was passed antegradely through the major papilla after the needle puncture using percutaneous transhepatic biliary drainage technique. A hydrophilic guidewire with an ERCP catheter was antegradely advanced beyond the Roux limb. After a guidewire was firmly grasped by a snare forceps, it was pulled out of the body, resulting that the enteroscope could advance to the papilla. After papillary dilation, complete removal of bile duct stones was achieved without any procedure-related complication. In conclusion, although further study is needed, SBE-assisted ERCP using a rendezvous technique may have a potential for selected patients.

scholarly journals Single Balloon Enteroscopy-Guided Endoscopic Retrograde Cholangiopancreatography in Surgically Altered Anatomy: Long vs. Short Type

2021 ◽  
Vol 26 (3) ◽  
pp. 181-185
Author(s):  
Chang-Hwan Park
Keyword(s):  
High Risk ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Clinical Studies ◽  
Endoscopic Retrograde ◽  
Balloon Enteroscopy ◽  
Surgically Altered Anatomy ◽  
Single Balloon ◽  
Single Balloon Enteroscopy ◽  
Foregone Conclusion ◽  
Short Type

Traditionally, enteroscopy-guided endoscopic retrograde cholangiopancreatography (ERCP) was considered as troublesome procedure with high risk of complications in patients with surgically altered anatomy (SAA). However, recent studies have suggested that it might not have to be a foregone conclusion. In addition, various enteroscopes have been used for enteroscopy-guided ERCP in patients with SAA showing promising results. Among them, long type single balloon enteroscopes (SBE) have mostly been used for enteroscopy-guided ERCP in Korea. Recently, short type SBE can come in handy all around. Two major points should be considered when to choose between long type and short type SBE in SAA. First, it is the figurative difference between the two types of SBE that effects on actual results of enteroscopy-guided ERCP. Second, it is clinical studies using short type and/or long type SBE for enteroscopy-guided ERCP in patients with SAA. Conclusively speaking, short type SBE should be considered at first for enteroscopy-guided ERCP in most patients with SAA.

scholarly journals Peroral direct cholangioscopy with a single balloon enteroscope for bile duct stones after total gastrectomy : Report of a case

2016 ◽  
Vol 88 (1) ◽  
pp. 170-171
Author(s):  
Kazuho Uehara ◽  
Kosuke Okuwaki ◽  
Mitsuhiro Kida ◽  
Hiroshi Yamauchi ◽  
Shiro Miyazawa ◽  
...  
Keyword(s):  
Bile Duct ◽  
Total Gastrectomy ◽  
Bile Duct Stones ◽  
Single Balloon

scholarly journals Ampullary intervention for bile duct stones in patients with surgically altered anatomy

2014 ◽  
Vol 26 ◽  
pp. 116-121 ◽  
Author(s):  
Kei Ito ◽  
Kaori Masu ◽  
Yoshihide Kanno ◽  
Tetsuya Ohira ◽  
Yutaka Noda
Keyword(s):  
Bile Duct ◽  
Bile Duct Stones ◽  
Surgically Altered Anatomy
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