Utility of newly developed short‐type double‐balloon endoscopy for endoscopic retrograde cholangiography in postoperative patients

Background and Aim The utility of conventional short‐type double‐balloon endoscopy (DBE) for pancreatobiliary disease in patients with postoperative anatomy had been widely acknowledged and accepted. However, some technical difficulties yet remained. In an attempt to solve these problems, the new sh...

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Bibliographic Details
Published in:Journal of gastroenterology and hepatology 2017-07, Vol.32 (7), p.1348-1354
Main Authors: Shimatani, Masaaki, Tokuhara, Mitsuo, Kato, Kota, Miyamoto, Sachi, Masuda, Masataka, Sakao, Masayuki, Fukata, Norimasa, Miyoshi, Hideaki, Ikeura, Tsukasa, Takaoka, Makoto, Okazaki, Kazuichi
Format: Article
Language:English
Subjects:
Adult
Aged
Anatomy
Balloon treatment
Biliary Tract Diseases - diagnosis
Biliary Tract Diseases - pathology
Biliary Tract Diseases - surgery
Biliary Tract Diseases - therapy
Cholangiopancreatography, Endoscopic Retrograde - instrumentation
Cholangiopancreatography, Endoscopic Retrograde - methods
Cholangiopancreatography, Endoscopic Retrograde - utilization
DBE‐assisted ERC
endoscopic retrograde cholangiography (ERC)
Endoscopy
Female
Health care delivery
Humans
Male
Middle Aged
Pancreatic Diseases - diagnosis
Pancreatic Diseases - pathology
Pancreatic Diseases - surgery
Pancreatic Diseases - therapy
Postoperative Period
Retrospective Studies
Roux‐en‐Y reconstruction
short‐type double‐balloon endoscopy (DBE)
Single-Balloon Enteroscopy - instrumentation
Single-Balloon Enteroscopy - utilization
Success
Treatment Outcome
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Summary:Background and Aim The utility of conventional short‐type double‐balloon endoscopy (DBE) for pancreatobiliary disease in patients with postoperative anatomy had been widely acknowledged and accepted. However, some technical difficulties yet remained. In an attempt to solve these problems, the new short‐type DBE (N‐short DBE) was uniquely designed for therapeutic endoscopic retrograde cholangiography (ERC) in postoperative patients. The aim of this study was to evaluate the usefulness of N‐short DBE for ERC in postoperative patients. Methods From August 2015 to April 2016, ERC using N‐short DBE (DB‐ERC) was performed in 100 postoperative patients (112 procedures). We retrospectively studied the success rate of reaching the blind end, the median time to reach the blind end, the diagnostic success rate, the therapeutic success rate, the median time to complete ERC‐related interventions, the overall success rate, the median time to complete DB‐ERC, and adverse events. Results The success rate of reaching the blind end was 99.1%. The median time to reach the blind end was 10 min (interquartile range [IQR], 6–19 min). The diagnostic success rate was 98.2%. The therapeutic success rate was 100%. The median time to complete ERC‐related interventions was 36 min (IQR, 22–62 min). The overall DB‐ERC success rate was 97.3%. The median time to complete DB‐ERC was 54 min (IQR, 37–73 min). The occurrence of adverse events was 2.7%. Conclusions The N‐short DBE for ERC in postoperative patients is useful and safe. DB‐ERC is promising therapeutic modality in such patients and should be selected as the first‐line policy.
ISSN:0815-9319
1440-1746
DOI:10.1111/jgh.13713