title: Short double-balloon enteroscopy is feasible and effective for endoscopic retrograde cholangiopancreatography in patients with surgically altered gastrointestinal anatomy.
abstract: Endoscopic retrograde cholangiopancreatography (ERCP) for patients with digestive tract reconstruction is a difficult procedure from an anatomical point of view. A short-type double-balloon enteroscope has a 2.8-mm working channel and a 152-cm working length, and its advantage is that it can accommodate most conventional devices for ERCP. Although the shorter length compared with the long-type balloon-assisted enteroscope (BAE) was suspected of making it difficult or impossible to reach the blind end, in fact, the success rate of reaching the blind end with the short type is similar to that with the long- type BAE. In addition, the success rate of ERCP-related procedures with the short type is satisfactory. However, it remains controversial as to which BAE is more suitable for this procedure. Further randomized controlled trials by high-volume centers are warranted.
authors.affiliation: Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
authors.forename: Hironari
authors.initials: H
authors.lastname: Kato
authors.forename: Koichiro
authors.initials: K
authors.lastname: Tsutsumi
authors.forename: Ryo
authors.initials: R
authors.lastname: Harada
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Okada
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Yamamoto
mesh_terms: D000713:Anastomosis, Roux-en-Y / Q000379:methods; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D058582:Double-Balloon Enteroscopy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D005763:Gastroenterostomy / Q000379:methods; D006801:Humans; D008297:Male; D016577:Pancreaticoduodenectomy / Q000379:methods; D011183:Postoperative Complications / Q000453:epidemiology / Q000503:physiopathology; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome
keywords: Billroth II gastrectomy; Roux-en-Y reconstruction; balloon enteroscopy; endoscopic retrograde cholangiopancreatography (ERCP); short double-balloon enteroscopy