Success of single-balloon enteroscope-assisted ercp in patients with modified anatomy

Rev Esp Enferm Dig. 2021 Feb 23. doi: 10.17235/reed.2021.7894/2021. Online ahead of print.ABSTRACTWe would like to congratulate Drs. Espinel and Pinedo for their excellent results in single-ballon enteroscopy-assisted ERCP recently published in REED(1).We also want to share our experience. Between 2015 and 2021 we have performed 31 procedures in 26 patients. Half of the procedures (45.16%) were performed in patients with Roux-en-Y hepatic jejunostomy. Eight of these (22.80%) had prior primary bile duct surgery and six (19.35%) had prior Whipple surgery. The other half of the procedures (54.8%) presented native papilla: 10 (32.25%) subtotal gastrectomy and seven (22.58%) gastric bypass surgery. The main indication was choledocholithiasis in 21 procedures (67.74%), followed by benign biliary stricture (22.58%), bile leak (6.45%) and one (3.22%) biliary loop obstruction. We reached the papilla or bilioenteric anastomosis in 19 procedures (61.29%) and in 69.23% of the patients, respectively. It was possible to cannulate the bile duct and perform cholangiography in 17 procedures (54.83%), and 17 patients (65.38%). Finally, we achieved ERCP therapeutic success in 15 procedures (48.38%) and 15 patients (57.69%). In our center, we present lower success rate of therapeutic ERCP (29.4%) in patients with native papilla, compared to the one observed in hepatic-jejunostomies (71.43%), which is statistically significant (p = 0.04). Our results are similar to those previously published in t...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Authors: Source Type: research