Endoscopic retrograde cholangiography by double balloon enteroscopy in patients with Roux-en-Y hepaticojejunostomy
Background In patients with Roux-en-Y hepaticojejunostomy (HJ), endoscopic retrograde cholangiography (ERC) cannot usually be achieved since the anastomosis is not reachable via standard duodenoscope. In this study, we report our experience with ERC using double balloon enteroscope (DBE) (DBE-ERC) i...
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| Veröffentlicht in: | Surgical endoscopy 2010-02, Vol.24 (2), p.466-470 |
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| creator | Parlak, Erkan Çiçek, Bahattin Dişibeyaz, Selçuk Cengiz, Cem Yurdakul, Mehmet Akdoğan, Meral Kılıç, Mesut Z. Y. Şaşmaz, Nurgül Cumhur, Turhan Şahin, Burhan |
| description | Background
In patients with Roux-en-Y hepaticojejunostomy (HJ), endoscopic retrograde cholangiography (ERC) cannot usually be achieved since the anastomosis is not reachable via standard duodenoscope. In this study, we report our experience with ERC using double balloon enteroscope (DBE) (DBE-ERC) in patients with HJ.
Methods
The DBE-ERC procedures performed since the index case done dated May 3, 2006 have been overviewed.
Results
Fourteen patients underwent the procedure. DBE-ERC was successful in all but one patient, for whom the anastomosis could not be reached (success rate to reach anastomosis: 92.9%). The remaining 13 patients (7 female, 6 male; age 28–61 years, mean 45.3 years) had 20 sessions of DBE-ERC. The cannulation of the bile duct was achieved in all patients. The procedures, such as sphincteroplasty, dilatation, stone extraction and stent placement, were performed. Therapeutic procedures were all successful, except for in a single patient, who had the common bile duct filled with multiple stones and was referred for surgery. Three patients who had anastomotic stenosis treated by stenting are symptom free on follow-up at 3, 9 and 12 months, respectively, after stent removal. Retroperitoneal air was detected in a patient following stricturoplasty, but recovery was attained with medical treatment alone. Mean duration of the procedures was 75 ± 62 min.
Conclusion
DBE-ERCP enables us to perform ERC in a group of patients for whom it was impossible previously. Further experience is needed to evaluate its therapeutic efficacy compared with alternative methods. |
| doi_str_mv | 10.1007/s00464-009-0591-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733904001</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1952845221</sourcerecordid><originalsourceid>FETCH-LOGICAL-c400t-9bbe008f36a936b2df2b225ff5224c837aeba8e139679ed1200b2a6c39b834ce3</originalsourceid><addsrcrecordid>eNp1kU1r3DAQhkVpaLZpf0AvRRRKT0pGkr90DCFtA4FCSA89CUke73rxSq5kk_jfR9tdEgj0JEbzzMc7LyGfOJxzgPoiARRVwQAUg1JxJt-QFS-kYELw5i1ZgZLARK2KU_I-pS1kXPHyHTnlqmxKqMWKxGvfhuTC2DsacYphHU2L1G3CYPy634fjZqF2oW2Y7YDUmmEIwVP0E8Z_lQvtPR3N1OevRB_6aUPvwvzI0LM_dIP7jAtb3M4-pCnslg_kpDNDwo_H94z8_n59f_WT3f76cXN1ectcATAxZS0CNJ2sjJKVFW0nrBBl15VCFK6RtUFrGuRSVbXClgsAK0zlpLKNLBzKM_Lt0HeM4e-MadK7PjkcsjAMc9K1lAryKJ7JL6_IbZijz8tpkU8FNag6Q_wAuSw7Rez0GPudiYvmoPd26IMdOtuh93ZomWs-HxvPdoftS8Xx_hn4egRMcmboovGuT89c1ltBKSBz4sClnPJrjC8b_n_6E15GpBs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>219507097</pqid></control><display><type>article</type><title>Endoscopic retrograde cholangiography by double balloon enteroscopy in patients with Roux-en-Y hepaticojejunostomy</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Parlak, Erkan ; Çiçek, Bahattin ; Dişibeyaz, Selçuk ; Cengiz, Cem ; Yurdakul, Mehmet ; Akdoğan, Meral ; Kılıç, Mesut Z. Y. ; Şaşmaz, Nurgül ; Cumhur, Turhan ; Şahin, Burhan</creator><creatorcontrib>Parlak, Erkan ; Çiçek, Bahattin ; Dişibeyaz, Selçuk ; Cengiz, Cem ; Yurdakul, Mehmet ; Akdoğan, Meral ; Kılıç, Mesut Z. Y. ; Şaşmaz, Nurgül ; Cumhur, Turhan ; Şahin, Burhan</creatorcontrib><description>Background
In patients with Roux-en-Y hepaticojejunostomy (HJ), endoscopic retrograde cholangiography (ERC) cannot usually be achieved since the anastomosis is not reachable via standard duodenoscope. In this study, we report our experience with ERC using double balloon enteroscope (DBE) (DBE-ERC) in patients with HJ.
Methods
The DBE-ERC procedures performed since the index case done dated May 3, 2006 have been overviewed.
Results
Fourteen patients underwent the procedure. DBE-ERC was successful in all but one patient, for whom the anastomosis could not be reached (success rate to reach anastomosis: 92.9%). The remaining 13 patients (7 female, 6 male; age 28–61 years, mean 45.3 years) had 20 sessions of DBE-ERC. The cannulation of the bile duct was achieved in all patients. The procedures, such as sphincteroplasty, dilatation, stone extraction and stent placement, were performed. Therapeutic procedures were all successful, except for in a single patient, who had the common bile duct filled with multiple stones and was referred for surgery. Three patients who had anastomotic stenosis treated by stenting are symptom free on follow-up at 3, 9 and 12 months, respectively, after stent removal. Retroperitoneal air was detected in a patient following stricturoplasty, but recovery was attained with medical treatment alone. Mean duration of the procedures was 75 ± 62 min.
Conclusion
DBE-ERCP enables us to perform ERC in a group of patients for whom it was impossible previously. Further experience is needed to evaluate its therapeutic efficacy compared with alternative methods.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-009-0591-3</identifier><identifier>PMID: 19585072</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Adult ; Anastomosis, Roux-en-Y ; Bile ducts ; Bile Ducts - injuries ; Biological and medical sciences ; Catheterization - adverse effects ; Catheters ; Cholangiocarcinoma ; Cholangiopancreatography, Endoscopic Retrograde - instrumentation ; Cholangiopancreatography, Endoscopic Retrograde - methods ; Cholangitis ; Cholangitis - etiology ; Cholecystectomy ; Cholecystectomy, Laparoscopic - adverse effects ; Digestive system ; Digestive system. Abdomen ; Endoscopes, Gastrointestinal ; Endoscopy ; Equipment Design ; Equipment Failure ; Esophagus ; Feasibility Studies ; Female ; Foreign Bodies - surgery ; Gastroenterology ; Gynecology ; Hepatology ; Humans ; Intraoperative Complications - surgery ; Investigative techniques, diagnostic techniques (general aspects) ; Jejunostomy - methods ; Liver - surgery ; Liver Transplantation ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Miscellaneous ; Patients ; Proctology ; Prospective Studies ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Stents ; Surgery</subject><ispartof>Surgical endoscopy, 2010-02, Vol.24 (2), p.466-470</ispartof><rights>Springer Science+Business Media, LLC 2009</rights><rights>2015 INIST-CNRS</rights><rights>Springer Science+Business Media, LLC 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-9bbe008f36a936b2df2b225ff5224c837aeba8e139679ed1200b2a6c39b834ce3</citedby><cites>FETCH-LOGICAL-c400t-9bbe008f36a936b2df2b225ff5224c837aeba8e139679ed1200b2a6c39b834ce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-009-0591-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-009-0591-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22560520$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19585072$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parlak, Erkan</creatorcontrib><creatorcontrib>Çiçek, Bahattin</creatorcontrib><creatorcontrib>Dişibeyaz, Selçuk</creatorcontrib><creatorcontrib>Cengiz, Cem</creatorcontrib><creatorcontrib>Yurdakul, Mehmet</creatorcontrib><creatorcontrib>Akdoğan, Meral</creatorcontrib><creatorcontrib>Kılıç, Mesut Z. Y.</creatorcontrib><creatorcontrib>Şaşmaz, Nurgül</creatorcontrib><creatorcontrib>Cumhur, Turhan</creatorcontrib><creatorcontrib>Şahin, Burhan</creatorcontrib><title>Endoscopic retrograde cholangiography by double balloon enteroscopy in patients with Roux-en-Y hepaticojejunostomy</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
In patients with Roux-en-Y hepaticojejunostomy (HJ), endoscopic retrograde cholangiography (ERC) cannot usually be achieved since the anastomosis is not reachable via standard duodenoscope. In this study, we report our experience with ERC using double balloon enteroscope (DBE) (DBE-ERC) in patients with HJ.
Methods
The DBE-ERC procedures performed since the index case done dated May 3, 2006 have been overviewed.
Results
Fourteen patients underwent the procedure. DBE-ERC was successful in all but one patient, for whom the anastomosis could not be reached (success rate to reach anastomosis: 92.9%). The remaining 13 patients (7 female, 6 male; age 28–61 years, mean 45.3 years) had 20 sessions of DBE-ERC. The cannulation of the bile duct was achieved in all patients. The procedures, such as sphincteroplasty, dilatation, stone extraction and stent placement, were performed. Therapeutic procedures were all successful, except for in a single patient, who had the common bile duct filled with multiple stones and was referred for surgery. Three patients who had anastomotic stenosis treated by stenting are symptom free on follow-up at 3, 9 and 12 months, respectively, after stent removal. Retroperitoneal air was detected in a patient following stricturoplasty, but recovery was attained with medical treatment alone. Mean duration of the procedures was 75 ± 62 min.
Conclusion
DBE-ERCP enables us to perform ERC in a group of patients for whom it was impossible previously. Further experience is needed to evaluate its therapeutic efficacy compared with alternative methods.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Anastomosis, Roux-en-Y</subject><subject>Bile ducts</subject><subject>Bile Ducts - injuries</subject><subject>Biological and medical sciences</subject><subject>Catheterization - adverse effects</subject><subject>Catheters</subject><subject>Cholangiocarcinoma</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - instrumentation</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - methods</subject><subject>Cholangitis</subject><subject>Cholangitis - etiology</subject><subject>Cholecystectomy</subject><subject>Cholecystectomy, Laparoscopic - adverse effects</subject><subject>Digestive system</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopes, Gastrointestinal</subject><subject>Endoscopy</subject><subject>Equipment Design</subject><subject>Equipment Failure</subject><subject>Esophagus</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Foreign Bodies - surgery</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Intraoperative Complications - surgery</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Jejunostomy - methods</subject><subject>Liver - surgery</subject><subject>Liver Transplantation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Patients</subject><subject>Proctology</subject><subject>Prospective Studies</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Stents</subject><subject>Surgery</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU1r3DAQhkVpaLZpf0AvRRRKT0pGkr90DCFtA4FCSA89CUke73rxSq5kk_jfR9tdEgj0JEbzzMc7LyGfOJxzgPoiARRVwQAUg1JxJt-QFS-kYELw5i1ZgZLARK2KU_I-pS1kXPHyHTnlqmxKqMWKxGvfhuTC2DsacYphHU2L1G3CYPy634fjZqF2oW2Y7YDUmmEIwVP0E8Z_lQvtPR3N1OevRB_6aUPvwvzI0LM_dIP7jAtb3M4-pCnslg_kpDNDwo_H94z8_n59f_WT3f76cXN1ectcATAxZS0CNJ2sjJKVFW0nrBBl15VCFK6RtUFrGuRSVbXClgsAK0zlpLKNLBzKM_Lt0HeM4e-MadK7PjkcsjAMc9K1lAryKJ7JL6_IbZijz8tpkU8FNag6Q_wAuSw7Rez0GPudiYvmoPd26IMdOtuh93ZomWs-HxvPdoftS8Xx_hn4egRMcmboovGuT89c1ltBKSBz4sClnPJrjC8b_n_6E15GpBs</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Parlak, Erkan</creator><creator>Çiçek, Bahattin</creator><creator>Dişibeyaz, Selçuk</creator><creator>Cengiz, Cem</creator><creator>Yurdakul, Mehmet</creator><creator>Akdoğan, Meral</creator><creator>Kılıç, Mesut Z. Y.</creator><creator>Şaşmaz, Nurgül</creator><creator>Cumhur, Turhan</creator><creator>Şahin, Burhan</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20100201</creationdate><title>Endoscopic retrograde cholangiography by double balloon enteroscopy in patients with Roux-en-Y hepaticojejunostomy</title><author>Parlak, Erkan ; Çiçek, Bahattin ; Dişibeyaz, Selçuk ; Cengiz, Cem ; Yurdakul, Mehmet ; Akdoğan, Meral ; Kılıç, Mesut Z. Y. ; Şaşmaz, Nurgül ; Cumhur, Turhan ; Şahin, Burhan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-9bbe008f36a936b2df2b225ff5224c837aeba8e139679ed1200b2a6c39b834ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Anastomosis, Roux-en-Y</topic><topic>Bile ducts</topic><topic>Bile Ducts - injuries</topic><topic>Biological and medical sciences</topic><topic>Catheterization - adverse effects</topic><topic>Catheters</topic><topic>Cholangiocarcinoma</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - instrumentation</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - methods</topic><topic>Cholangitis</topic><topic>Cholangitis - etiology</topic><topic>Cholecystectomy</topic><topic>Cholecystectomy, Laparoscopic - adverse effects</topic><topic>Digestive system</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopes, Gastrointestinal</topic><topic>Endoscopy</topic><topic>Equipment Design</topic><topic>Equipment Failure</topic><topic>Esophagus</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Foreign Bodies - surgery</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Intraoperative Complications - surgery</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Jejunostomy - methods</topic><topic>Liver - surgery</topic><topic>Liver Transplantation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Patients</topic><topic>Proctology</topic><topic>Prospective Studies</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Stents</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parlak, Erkan</creatorcontrib><creatorcontrib>Çiçek, Bahattin</creatorcontrib><creatorcontrib>Dişibeyaz, Selçuk</creatorcontrib><creatorcontrib>Cengiz, Cem</creatorcontrib><creatorcontrib>Yurdakul, Mehmet</creatorcontrib><creatorcontrib>Akdoğan, Meral</creatorcontrib><creatorcontrib>Kılıç, Mesut Z. Y.</creatorcontrib><creatorcontrib>Şaşmaz, Nurgül</creatorcontrib><creatorcontrib>Cumhur, Turhan</creatorcontrib><creatorcontrib>Şahin, Burhan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parlak, Erkan</au><au>Çiçek, Bahattin</au><au>Dişibeyaz, Selçuk</au><au>Cengiz, Cem</au><au>Yurdakul, Mehmet</au><au>Akdoğan, Meral</au><au>Kılıç, Mesut Z. Y.</au><au>Şaşmaz, Nurgül</au><au>Cumhur, Turhan</au><au>Şahin, Burhan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic retrograde cholangiography by double balloon enteroscopy in patients with Roux-en-Y hepaticojejunostomy</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>24</volume><issue>2</issue><spage>466</spage><epage>470</epage><pages>466-470</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Background
In patients with Roux-en-Y hepaticojejunostomy (HJ), endoscopic retrograde cholangiography (ERC) cannot usually be achieved since the anastomosis is not reachable via standard duodenoscope. In this study, we report our experience with ERC using double balloon enteroscope (DBE) (DBE-ERC) in patients with HJ.
Methods
The DBE-ERC procedures performed since the index case done dated May 3, 2006 have been overviewed.
Results
Fourteen patients underwent the procedure. DBE-ERC was successful in all but one patient, for whom the anastomosis could not be reached (success rate to reach anastomosis: 92.9%). The remaining 13 patients (7 female, 6 male; age 28–61 years, mean 45.3 years) had 20 sessions of DBE-ERC. The cannulation of the bile duct was achieved in all patients. The procedures, such as sphincteroplasty, dilatation, stone extraction and stent placement, were performed. Therapeutic procedures were all successful, except for in a single patient, who had the common bile duct filled with multiple stones and was referred for surgery. Three patients who had anastomotic stenosis treated by stenting are symptom free on follow-up at 3, 9 and 12 months, respectively, after stent removal. Retroperitoneal air was detected in a patient following stricturoplasty, but recovery was attained with medical treatment alone. Mean duration of the procedures was 75 ± 62 min.
Conclusion
DBE-ERCP enables us to perform ERC in a group of patients for whom it was impossible previously. Further experience is needed to evaluate its therapeutic efficacy compared with alternative methods.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>19585072</pmid><doi>10.1007/s00464-009-0591-3</doi><tpages>5</tpages></addata></record> |
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| ispartof | Surgical endoscopy, 2010-02, Vol.24 (2), p.466-470 |
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| subjects | Abdominal Surgery Adult Anastomosis, Roux-en-Y Bile ducts Bile Ducts - injuries Biological and medical sciences Catheterization - adverse effects Catheters Cholangiocarcinoma Cholangiopancreatography, Endoscopic Retrograde - instrumentation Cholangiopancreatography, Endoscopic Retrograde - methods Cholangitis Cholangitis - etiology Cholecystectomy Cholecystectomy, Laparoscopic - adverse effects Digestive system Digestive system. Abdomen Endoscopes, Gastrointestinal Endoscopy Equipment Design Equipment Failure Esophagus Feasibility Studies Female Foreign Bodies - surgery Gastroenterology Gynecology Hepatology Humans Intraoperative Complications - surgery Investigative techniques, diagnostic techniques (general aspects) Jejunostomy - methods Liver - surgery Liver Transplantation Male Medical sciences Medicine Medicine & Public Health Middle Aged Miscellaneous Patients Proctology Prospective Studies Radiodiagnosis. Nmr imagery. Nmr spectrometry Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Stents Surgery |
| title | Endoscopic retrograde cholangiography by double balloon enteroscopy in patients with Roux-en-Y hepaticojejunostomy |
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