Failure Factors to Reach the Blind End Using a Short-Type Single-Balloon Enteroscope for ERCP with Roux-en-Y Reconstruction: A Multicenter Retrospective Study
Joint Authors
Koizumi, Wasaburo
Kobayashi, Kiyonori
Kawaguchi, Yusuke
Yamauchi, Hiroshi
Kida, Mitsuhiro
Okuwaki, Kosuke
Iwai, Tomohisa
Uehara, Kazuho
Hasegawa, Rikiya
Imaizumi, Hiroshi
Source
Gastroenterology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-05
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Failure factors in reaching the blind end (papillae of Vater, bilioenteric anastomosis) during short-type single-balloon enteroscope-assisted endoscopic retrograde cholangiopancreatography (sSBE-assisted ERCP) in patients with Roux-en-Y (R-Y) reconstruction remain to be evaluated.
Aims.
We investigated the failure factors in such patients.
Methods.
We retrospectively studied 253 initial sessions of sSBE-assisted ERCP at three endoscopy centers from April 2008 through September 2017, examining failure factors and complications associated with scope insertion in patients with R-Y reconstruction.
Results.
R-Y reconstruction was performed in 157 patients (with gastrectomy: 122 patients; without gastrectomy plus bilioenteric anastomosis: 35 patients).
R-Y without gastrectomy (p=0.001; odds ratio (OR), 5.73; 95% confidence interval (CI), 2.07 to 16.01) and the presence of peritoneal dissemination (p=0.021; OR, 4.71; 95% CI, 1.27 to 17.54) were significant failure factors.
Insufficient sSBE length was the cause of failure in 17 (11%) of the 157 patients, and 13 (76%) of the 17 patients were with R-Y without gastrectomy.
In cases of insufficient short-type length, using a long-type SBE significantly increased the success rate (p=0.002).
Gastrointestinal stenosis was a significant failure factor (p=0.011) in patients with peritoneal dissemination.
Perforation occurred in 2 patients who responded to conservative treatment.
Conclusions.
Failure factors during sSBE-assisted ERCP were R-Y without gastrectomy and the presence of peritoneal dissemination.
American Psychological Association (APA)
Kawaguchi, Yusuke& Yamauchi, Hiroshi& Kida, Mitsuhiro& Okuwaki, Kosuke& Iwai, Tomohisa& Uehara, Kazuho…[et al.]. 2019. Failure Factors to Reach the Blind End Using a Short-Type Single-Balloon Enteroscope for ERCP with Roux-en-Y Reconstruction: A Multicenter Retrospective Study. Gastroenterology Research and Practice،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1155108
Modern Language Association (MLA)
Kawaguchi, Yusuke…[et al.]. Failure Factors to Reach the Blind End Using a Short-Type Single-Balloon Enteroscope for ERCP with Roux-en-Y Reconstruction: A Multicenter Retrospective Study. Gastroenterology Research and Practice No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1155108
American Medical Association (AMA)
Kawaguchi, Yusuke& Yamauchi, Hiroshi& Kida, Mitsuhiro& Okuwaki, Kosuke& Iwai, Tomohisa& Uehara, Kazuho…[et al.]. Failure Factors to Reach the Blind End Using a Short-Type Single-Balloon Enteroscope for ERCP with Roux-en-Y Reconstruction: A Multicenter Retrospective Study. Gastroenterology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1155108
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1155108