Pancreatic pseudocysts in post-gastrectomy patients treated via the duodenal minor papilla with an oblique-viewing endoscope.
Endoscopic retrograde cholangiopancreatography (ERCP) in patients after Billroth II or Roux-en-Y reconstruction is challenging because of difficulties in insertion of the endoscope into the afferent loop, which is a great distance away from the papilla of Vater, and cannulation into the desired duct from a reverse position. To facilitate ERCP, various endoscopes have been selected according to operator preference. Previously, we reported that an oblique-viewing endoscope (XK-200; Olympus, Tokyo, Japan) can contribute to successful performance of ERCP and associated procedures in Billroth II gastrectomy patients. We report here our experience with two post-gastrectomy patients with chronic pancreatitis who were treated with an oblique-viewing endoscope from the minor papilla.
Matsuhashi
Toru
T
Hamamatsu Rosai Hospital, Japan. mtohru2001@yahoo.co.jp <mtohru2001@yahoo.co.jp>
Kikuyama
Masataka
M
Sasada
Yuzo
Y
Ota
Yuji
Y
Nakahodo
Jun
J
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000295:instrumentation*; D019723:Endoscopes; D005743:Gastrectomy; D005763:Gastroenterostomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010183:Pancreatic Ducts; D010192:Pancreatic Pseudocyst / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D050500:Pancreatitis, Chronic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*