![](/images/graphics-bg.png)
Single Balloon Enteroscopy-Assisted ERCP Using Rendezvous Technique for Sharp Angulation of Roux-en-Y Limb in a Patient with Bile Duct Stones
Joint Authors
Tsuchiya, Takayoshi
Moriyasu, Fuminori
Itoi, Takao
Kurihara, Toshio
Umeda, Junko
Itokawa, Fumihide
Tsuji, Shujiro
Ishii, Kentaro
Sofuni, Atsushi
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-02-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Itoi, Takao& Ishii, Kentaro& Sofuni, Atsushi& Itokawa, Fumihide& Kurihara, Toshio& Tsuchiya, Takayoshi…[et al.]. 2010. Single Balloon Enteroscopy-Assisted ERCP Using Rendezvous Technique for Sharp Angulation of Roux-en-Y Limb in a Patient with Bile Duct Stones. Diagnostic and Therapeutic Endoscopy،Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-450120
Modern Language Association (MLA)
Itoi, Takao…[et al.]. Single Balloon Enteroscopy-Assisted ERCP Using Rendezvous Technique for Sharp Angulation of Roux-en-Y Limb in a Patient with Bile Duct Stones. Diagnostic and Therapeutic Endoscopy No. 2009 (2009), pp.1-4.
https://search.emarefa.net/detail/BIM-450120
American Medical Association (AMA)
Itoi, Takao& Ishii, Kentaro& Sofuni, Atsushi& Itokawa, Fumihide& Kurihara, Toshio& Tsuchiya, Takayoshi…[et al.]. Single Balloon Enteroscopy-Assisted ERCP Using Rendezvous Technique for Sharp Angulation of Roux-en-Y Limb in a Patient with Bile Duct Stones. Diagnostic and Therapeutic Endoscopy. 2010. Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-450120
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-450120