Endoscopic Retrograde Cholangiopancreatography and Needle-Knife Sphincterotomy in Patients with Billroth II Gastrectomy: A Comparative Study of the Forward-viewing Endoscope and the Side-viewing Duodenoscope
Abstract BACKGROUND AND STUDY AIMS: A prospective, randomized study was carried out to compare the success and complication rates associated with the forward-viewing endoscope and side-viewing duodenoscope in conducting endoscopic retrograde cholangiopancreatography (ERCP) and needle-knife sphincter...
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| Veröffentlicht in: | Endoscopy 1997-02, Vol.29 (2), p.82-85 |
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| creator | Kim, M. H. Lee, S. K. Lee, M. H. Myung, S. J. Yoo, B. M. Seo, D. W. Min, Y. I. |
| description | Abstract
BACKGROUND AND STUDY AIMS: A prospective, randomized study was carried out to compare the success and complication rates associated with the forward-viewing endoscope and side-viewing duodenoscope in conducting endoscopic retrograde cholangiopancreatography (ERCP) and needle-knife sphincterotomy in patients with a Billroth II gastrectomy.
PATIENTS AND METHODS: The study included 45 patients with a Billroth II gastrectomy who required ERCP and endoscopic sphincterotomy (EST) for evaluation and management of pancreaticobiliary disease. The patients were randomly assigned to receive ERCP and EST with either a forward-viewing endoscope or a side-viewing duodenoscope.
RESULTS: Cannulation of the papilla was successful in 68 % (15 of 22) in the side-viewing duodenoscope group, and in 87 % (20 of 23) in the forward-viewing endoscope group. Failures of cannulation occurred in seven patients in the side-viewing duodenoscope group, caused by jejunal perforation during insertion (n = 4), by a long afferent loop (n = 1), by a complaint of severe abdominal pain (n = l), and by failure to enter the afferent loop (n = I). In the forward-viewing endoscope group, failure occurred in three patients due to the long afferent loop (n = 2) and to an inability to cannulate despite identification of the papilla (n = l). Sphincterotomy was successfully completed in eight of ten patients (80 %) in the side-viewing duodenoscope group, and in ten of twelve patients (83 %) in the forward-viewing endoscope group.
CONCLUSIONS: For ERCP and EST in patients with Billroth II gastrectomy, the forward-viewing endoscope is as effective as the side-viewing duodenoscope, but it may be the safer of the two instruments. The forward-viewing endoscope can be recommended for ERCP and EST in patients with a Billroth II gastrectomy. |
| doi_str_mv | 10.1055/s-2007-1004080 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78922515</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>78922515</sourcerecordid><originalsourceid>FETCH-LOGICAL-c357t-763dced0698d369b0974a4228a7b14e4ed51bbdb6dc21acf9e7286611ebb1c1d3</originalsourceid><addsrcrecordid>eNp1kU1v1DAQhi0EKkvhyg3JB9SbW9v55la2H6yoAFGQuEWOPdm4SuxgO13tr-Qv4XTD3jhZ4_eZd0bzIvSW0XNGs-zCE05pQRilKS3pM7RiaVKSsmT8OVpRyhJS8PzXS_TK-4e5pDQ7QScVo4yl6Qr9uTbKemlHLfF3CM5unVCA153thdlqOwojHYgw_4_dHguj8BcA1QP5bHQL-H7stJEBnA122GNt8DcRNJjg8U6HDn_UfR-1Dm82-Fb44EDO4Ad8idd2GIWL9GO0CZPaY9vi0AG-sW4nnCKPGnbabPG_HeFp_EzcawVH-WqyCsyBeI1etKL38GZ5T9HPm-sf60_k7uvtZn15R2SSFYEUeaIkKJpXpUryqqFVkYqU81IUDUshBZWxplFNriRnQrYVFLzMc8agaZhkKjlFZwff0dnfE_hQD9pL6OPVwE6-LsqK84xlETw_gNJZ7x209ej0INy-ZrSeE6x9PSdYLwnGhneL89QMoI74ElnU3y-68FL0rYsJaX_EeE7zjLOIkQMWOg0D1A92ciZe5H9j_wJkPbad</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>78922515</pqid></control><display><type>article</type><title>Endoscopic Retrograde Cholangiopancreatography and Needle-Knife Sphincterotomy in Patients with Billroth II Gastrectomy: A Comparative Study of the Forward-viewing Endoscope and the Side-viewing Duodenoscope</title><source>MEDLINE</source><source>Thieme Connect Journals</source><creator>Kim, M. H. ; Lee, S. K. ; Lee, M. H. ; Myung, S. J. ; Yoo, B. M. ; Seo, D. W. ; Min, Y. I.</creator><creatorcontrib>Kim, M. H. ; Lee, S. K. ; Lee, M. H. ; Myung, S. J. ; Yoo, B. M. ; Seo, D. W. ; Min, Y. I.</creatorcontrib><description>Abstract
BACKGROUND AND STUDY AIMS: A prospective, randomized study was carried out to compare the success and complication rates associated with the forward-viewing endoscope and side-viewing duodenoscope in conducting endoscopic retrograde cholangiopancreatography (ERCP) and needle-knife sphincterotomy in patients with a Billroth II gastrectomy.
PATIENTS AND METHODS: The study included 45 patients with a Billroth II gastrectomy who required ERCP and endoscopic sphincterotomy (EST) for evaluation and management of pancreaticobiliary disease. The patients were randomly assigned to receive ERCP and EST with either a forward-viewing endoscope or a side-viewing duodenoscope.
RESULTS: Cannulation of the papilla was successful in 68 % (15 of 22) in the side-viewing duodenoscope group, and in 87 % (20 of 23) in the forward-viewing endoscope group. Failures of cannulation occurred in seven patients in the side-viewing duodenoscope group, caused by jejunal perforation during insertion (n = 4), by a long afferent loop (n = 1), by a complaint of severe abdominal pain (n = l), and by failure to enter the afferent loop (n = I). In the forward-viewing endoscope group, failure occurred in three patients due to the long afferent loop (n = 2) and to an inability to cannulate despite identification of the papilla (n = l). Sphincterotomy was successfully completed in eight of ten patients (80 %) in the side-viewing duodenoscope group, and in ten of twelve patients (83 %) in the forward-viewing endoscope group.
CONCLUSIONS: For ERCP and EST in patients with Billroth II gastrectomy, the forward-viewing endoscope is as effective as the side-viewing duodenoscope, but it may be the safer of the two instruments. The forward-viewing endoscope can be recommended for ERCP and EST in patients with a Billroth II gastrectomy.</description><identifier>ISSN: 0013-726X</identifier><identifier>EISSN: 1438-8812</identifier><identifier>DOI: 10.1055/s-2007-1004080</identifier><identifier>PMID: 9101144</identifier><identifier>CODEN: ENDCAM</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Abdominal Pain - etiology ; Adult ; Aged ; Ampulla of Vater - pathology ; Anastomosis, Surgical ; Bile Duct Diseases - diagnosis ; Bile Duct Diseases - surgery ; Biological and medical sciences ; Catheterization - instrumentation ; Cholangiopancreatography, Endoscopic Retrograde ; Duodenoscopes ; Duodenoscopy - adverse effects ; Endoscopy ; Equipment Design ; Female ; Gastrectomy ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Jejunum - injuries ; Jejunum - surgery ; Male ; Medical sciences ; Middle Aged ; Miscellaneous. Technology ; Needles ; Original Article ; Pancreatic Diseases - diagnosis ; Pancreatic Diseases - surgery ; Prospective Studies ; Safety ; Sphincterotomy, Endoscopic - adverse effects ; Sphincterotomy, Endoscopic - instrumentation ; Sphincterotomy, Endoscopic - methods ; Treatment Outcome ; Tropical medicine</subject><ispartof>Endoscopy, 1997-02, Vol.29 (2), p.82-85</ispartof><rights>Georg Thieme Verlag KG Stuttgart · New York</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-763dced0698d369b0974a4228a7b14e4ed51bbdb6dc21acf9e7286611ebb1c1d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-1004080.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>314,777,781,3004,3005,27905,27906,54540</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2606521$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9101144$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, M. H.</creatorcontrib><creatorcontrib>Lee, S. K.</creatorcontrib><creatorcontrib>Lee, M. H.</creatorcontrib><creatorcontrib>Myung, S. J.</creatorcontrib><creatorcontrib>Yoo, B. M.</creatorcontrib><creatorcontrib>Seo, D. W.</creatorcontrib><creatorcontrib>Min, Y. I.</creatorcontrib><title>Endoscopic Retrograde Cholangiopancreatography and Needle-Knife Sphincterotomy in Patients with Billroth II Gastrectomy: A Comparative Study of the Forward-viewing Endoscope and the Side-viewing Duodenoscope</title><title>Endoscopy</title><addtitle>Endoscopy</addtitle><description>Abstract
BACKGROUND AND STUDY AIMS: A prospective, randomized study was carried out to compare the success and complication rates associated with the forward-viewing endoscope and side-viewing duodenoscope in conducting endoscopic retrograde cholangiopancreatography (ERCP) and needle-knife sphincterotomy in patients with a Billroth II gastrectomy.
PATIENTS AND METHODS: The study included 45 patients with a Billroth II gastrectomy who required ERCP and endoscopic sphincterotomy (EST) for evaluation and management of pancreaticobiliary disease. The patients were randomly assigned to receive ERCP and EST with either a forward-viewing endoscope or a side-viewing duodenoscope.
RESULTS: Cannulation of the papilla was successful in 68 % (15 of 22) in the side-viewing duodenoscope group, and in 87 % (20 of 23) in the forward-viewing endoscope group. Failures of cannulation occurred in seven patients in the side-viewing duodenoscope group, caused by jejunal perforation during insertion (n = 4), by a long afferent loop (n = 1), by a complaint of severe abdominal pain (n = l), and by failure to enter the afferent loop (n = I). In the forward-viewing endoscope group, failure occurred in three patients due to the long afferent loop (n = 2) and to an inability to cannulate despite identification of the papilla (n = l). Sphincterotomy was successfully completed in eight of ten patients (80 %) in the side-viewing duodenoscope group, and in ten of twelve patients (83 %) in the forward-viewing endoscope group.
CONCLUSIONS: For ERCP and EST in patients with Billroth II gastrectomy, the forward-viewing endoscope is as effective as the side-viewing duodenoscope, but it may be the safer of the two instruments. The forward-viewing endoscope can be recommended for ERCP and EST in patients with a Billroth II gastrectomy.</description><subject>Abdominal Pain - etiology</subject><subject>Adult</subject><subject>Aged</subject><subject>Ampulla of Vater - pathology</subject><subject>Anastomosis, Surgical</subject><subject>Bile Duct Diseases - diagnosis</subject><subject>Bile Duct Diseases - surgery</subject><subject>Biological and medical sciences</subject><subject>Catheterization - instrumentation</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Duodenoscopes</subject><subject>Duodenoscopy - adverse effects</subject><subject>Endoscopy</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Gastrectomy</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Jejunum - injuries</subject><subject>Jejunum - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous. Technology</subject><subject>Needles</subject><subject>Original Article</subject><subject>Pancreatic Diseases - diagnosis</subject><subject>Pancreatic Diseases - surgery</subject><subject>Prospective Studies</subject><subject>Safety</subject><subject>Sphincterotomy, Endoscopic - adverse effects</subject><subject>Sphincterotomy, Endoscopic - instrumentation</subject><subject>Sphincterotomy, Endoscopic - methods</subject><subject>Treatment Outcome</subject><subject>Tropical medicine</subject><issn>0013-726X</issn><issn>1438-8812</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhi0EKkvhyg3JB9SbW9v55la2H6yoAFGQuEWOPdm4SuxgO13tr-Qv4XTD3jhZ4_eZd0bzIvSW0XNGs-zCE05pQRilKS3pM7RiaVKSsmT8OVpRyhJS8PzXS_TK-4e5pDQ7QScVo4yl6Qr9uTbKemlHLfF3CM5unVCA153thdlqOwojHYgw_4_dHguj8BcA1QP5bHQL-H7stJEBnA122GNt8DcRNJjg8U6HDn_UfR-1Dm82-Fb44EDO4Ad8idd2GIWL9GO0CZPaY9vi0AG-sW4nnCKPGnbabPG_HeFp_EzcawVH-WqyCsyBeI1etKL38GZ5T9HPm-sf60_k7uvtZn15R2SSFYEUeaIkKJpXpUryqqFVkYqU81IUDUshBZWxplFNriRnQrYVFLzMc8agaZhkKjlFZwff0dnfE_hQD9pL6OPVwE6-LsqK84xlETw_gNJZ7x209ej0INy-ZrSeE6x9PSdYLwnGhneL89QMoI74ElnU3y-68FL0rYsJaX_EeE7zjLOIkQMWOg0D1A92ciZe5H9j_wJkPbad</recordid><startdate>19970201</startdate><enddate>19970201</enddate><creator>Kim, M. H.</creator><creator>Lee, S. K.</creator><creator>Lee, M. H.</creator><creator>Myung, S. J.</creator><creator>Yoo, B. M.</creator><creator>Seo, D. W.</creator><creator>Min, Y. I.</creator><general>Thieme</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>7X8</scope></search><sort><creationdate>19970201</creationdate><title>Endoscopic Retrograde Cholangiopancreatography and Needle-Knife Sphincterotomy in Patients with Billroth II Gastrectomy: A Comparative Study of the Forward-viewing Endoscope and the Side-viewing Duodenoscope</title><author>Kim, M. H. ; Lee, S. K. ; Lee, M. H. ; Myung, S. J. ; Yoo, B. M. ; Seo, D. W. ; Min, Y. I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-763dced0698d369b0974a4228a7b14e4ed51bbdb6dc21acf9e7286611ebb1c1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Abdominal Pain - etiology</topic><topic>Adult</topic><topic>Aged</topic><topic>Ampulla of Vater - pathology</topic><topic>Anastomosis, Surgical</topic><topic>Bile Duct Diseases - diagnosis</topic><topic>Bile Duct Diseases - surgery</topic><topic>Biological and medical sciences</topic><topic>Catheterization - instrumentation</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Duodenoscopes</topic><topic>Duodenoscopy - adverse effects</topic><topic>Endoscopy</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Gastrectomy</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Jejunum - injuries</topic><topic>Jejunum - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous. Technology</topic><topic>Needles</topic><topic>Original Article</topic><topic>Pancreatic Diseases - diagnosis</topic><topic>Pancreatic Diseases - surgery</topic><topic>Prospective Studies</topic><topic>Safety</topic><topic>Sphincterotomy, Endoscopic - adverse effects</topic><topic>Sphincterotomy, Endoscopic - instrumentation</topic><topic>Sphincterotomy, Endoscopic - methods</topic><topic>Treatment Outcome</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, M. H.</creatorcontrib><creatorcontrib>Lee, S. K.</creatorcontrib><creatorcontrib>Lee, M. H.</creatorcontrib><creatorcontrib>Myung, S. J.</creatorcontrib><creatorcontrib>Yoo, B. M.</creatorcontrib><creatorcontrib>Seo, D. W.</creatorcontrib><creatorcontrib>Min, Y. I.</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>MEDLINE - Academic</collection><jtitle>Endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, M. H.</au><au>Lee, S. K.</au><au>Lee, M. H.</au><au>Myung, S. J.</au><au>Yoo, B. M.</au><au>Seo, D. W.</au><au>Min, Y. I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic Retrograde Cholangiopancreatography and Needle-Knife Sphincterotomy in Patients with Billroth II Gastrectomy: A Comparative Study of the Forward-viewing Endoscope and the Side-viewing Duodenoscope</atitle><jtitle>Endoscopy</jtitle><addtitle>Endoscopy</addtitle><date>1997-02-01</date><risdate>1997</risdate><volume>29</volume><issue>2</issue><spage>82</spage><epage>85</epage><pages>82-85</pages><issn>0013-726X</issn><eissn>1438-8812</eissn><coden>ENDCAM</coden><abstract>Abstract
BACKGROUND AND STUDY AIMS: A prospective, randomized study was carried out to compare the success and complication rates associated with the forward-viewing endoscope and side-viewing duodenoscope in conducting endoscopic retrograde cholangiopancreatography (ERCP) and needle-knife sphincterotomy in patients with a Billroth II gastrectomy.
PATIENTS AND METHODS: The study included 45 patients with a Billroth II gastrectomy who required ERCP and endoscopic sphincterotomy (EST) for evaluation and management of pancreaticobiliary disease. The patients were randomly assigned to receive ERCP and EST with either a forward-viewing endoscope or a side-viewing duodenoscope.
RESULTS: Cannulation of the papilla was successful in 68 % (15 of 22) in the side-viewing duodenoscope group, and in 87 % (20 of 23) in the forward-viewing endoscope group. Failures of cannulation occurred in seven patients in the side-viewing duodenoscope group, caused by jejunal perforation during insertion (n = 4), by a long afferent loop (n = 1), by a complaint of severe abdominal pain (n = l), and by failure to enter the afferent loop (n = I). In the forward-viewing endoscope group, failure occurred in three patients due to the long afferent loop (n = 2) and to an inability to cannulate despite identification of the papilla (n = l). Sphincterotomy was successfully completed in eight of ten patients (80 %) in the side-viewing duodenoscope group, and in ten of twelve patients (83 %) in the forward-viewing endoscope group.
CONCLUSIONS: For ERCP and EST in patients with Billroth II gastrectomy, the forward-viewing endoscope is as effective as the side-viewing duodenoscope, but it may be the safer of the two instruments. The forward-viewing endoscope can be recommended for ERCP and EST in patients with a Billroth II gastrectomy.</abstract><cop>Stuttgart</cop><cop>New York, NY</cop><pub>Thieme</pub><pmid>9101144</pmid><doi>10.1055/s-2007-1004080</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0013-726X |
| ispartof | Endoscopy, 1997-02, Vol.29 (2), p.82-85 |
| issn | 0013-726X 1438-8812 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78922515 |
| source | MEDLINE; Thieme Connect Journals |
| subjects | Abdominal Pain - etiology Adult Aged Ampulla of Vater - pathology Anastomosis, Surgical Bile Duct Diseases - diagnosis Bile Duct Diseases - surgery Biological and medical sciences Catheterization - instrumentation Cholangiopancreatography, Endoscopic Retrograde Duodenoscopes Duodenoscopy - adverse effects Endoscopy Equipment Design Female Gastrectomy Humans Investigative techniques, diagnostic techniques (general aspects) Jejunum - injuries Jejunum - surgery Male Medical sciences Middle Aged Miscellaneous. Technology Needles Original Article Pancreatic Diseases - diagnosis Pancreatic Diseases - surgery Prospective Studies Safety Sphincterotomy, Endoscopic - adverse effects Sphincterotomy, Endoscopic - instrumentation Sphincterotomy, Endoscopic - methods Treatment Outcome Tropical medicine |
| title | Endoscopic Retrograde Cholangiopancreatography and Needle-Knife Sphincterotomy in Patients with Billroth II Gastrectomy: A Comparative Study of the Forward-viewing Endoscope and the Side-viewing Duodenoscope |
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