International Journal of Gastrointestinal Intervention

pISSN 2636-0004 eISSN 2636-0012

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< Previous Next >Gastrointestinal Intervention 2017; 6(1): 1~84

Review Article 2017-03-31

Endoscopic retrograde cholangiopancreatography in surgically altered anatomy

Deepinder Goyal, Benan Kasapoglu, and Nirav Thosani

https://doi.org/10.18528/gii170009

Abstract : Endoscopic retrograde cholangiopancreatography (ERCP) in a surgically altered anatomy is a technically challenging undertaking with variable success and adverse event rates. There are several potential challenges to successfully perform an ERCP in patients with surgically altered anatomy such as identification of afferent limb, accessing and visualization of the papilla, and selective cannulation of the biliary and pancreatic ducts from altered orientation of the papilla. Several strategies to improve the success rate have been recommended by various endoscopy experts. In this review, we discussed the published literature involving various ERCP techniques described for surgically altered anatomies.

Cited By: 0

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Complication Forum 2017-03-31

Risks of transesophageal endoscopic ultrasonography-guided biliary drainage

Nozomi Okuno, Kazuo Hara, Nobumasa Mizuno, Susumu Hijioka, Takamichi Kuwahara, Masahiro Tajika, Tsutomu Tanaka, Makoto Ishihara, Yutaka Hirayama, Sachiyo Onishi, and Yasumasa Niwa

https://doi.org/10.18528/gii170008

Abstract : Summary of EventPneumoderma, mediastinal emphysema, and bilateral pneumothorax were developed in the patient who had undergone trans-esophageal endoscopic ultrasonography-guided rendezvous technique. Chest drainage was performed immediately.Teaching PointTransesophageal approach carries the potential risks of severe complications such as mediastinal emphysema, mediastinitis, and pneumothorax. To prevent puncturing through the esophagus, clipping the esophagogastric junction using a forward-viewing scope before procedure is very useful. In cases of inadvertent transesophageal puncture, devices other than the needle should not be passed through the site.

Cited By: 16

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