Single Balloon Enteroscopy for Endoscopic Retrograde Cholangiography in a Patient with Hepaticojejunostomy after Liver Transplant
نویسندگان
چکیده
We report a case of a post-transplant patient with hepaticojejunostomy in whom we used a single balloon enteroscopy to access the biliary tree. This procedure seems to be safe and feasible for approaching the biliary anastomosis by means of the overtube and fixation of the small bowel by the balloon.
منابع مشابه
Endoscopic retrograde cholangiography of a hepaticojejunostomy using double balloon enteroscopy.
Examination of a biliodigestive anastomosis presents a diagnostic and therapeutic challenge. Visualization of biliodigestive anastomosis and endoscopic retrograde cholangiography with intervention is possible with a double balloon enteroscope.
متن کاملEndoscopic balloon dilatation for benign hepaticojejunostomy anastomotic stricture using short double-balloon enteroscopy in patients with a prior Whipple’s procedure: a retrospective study
BACKGROUND Endoscopic retrograde cholangiography using a short double-balloon endoscope (DB-ERC) is a promising minimally-invasive method for accessing hepaticojejunostomy (HJ) anastomosis in patients with surgically altered anatomy. We aimed to evaluate the immediate and long-term outcomes of balloon dilatation for benign HJ anastomotic stricture (HJAS) in patients who had previously undergone...
متن کاملDouble-balloon enteroscopy-assisted endoscopic retrograde cholangiography for the treatment of a strictured Roux-en-Y hepaticojejunal anastomosis.
A 49-year-old patient underwent cholecystectomy and Roux-en-Y hepaticojejunal anastomosis (●" Fig.1) for Mirizzi’s syndrome. Jaundice, pruritus, choluria, and acholia developed 4 months later. The total serum bilirubin was 21mg/dL, and magnetic resonance cholangiopancreatography (MRCP) demonstrated intrahepatic bile duct dilation and anastomotic stricture. Double-balloon enteroscopy was perform...
متن کاملroux-en-Y reconstruction: case series and review of the literature
background: Endoscopic access to the biliary system can be difficult in patients with surgically altered anatomy, such as a roux-en-Y reconstruction. double balloon enteroscopy (dbE) is a relatively new procedure that enables access to the small bowel. dbE has recently been advocated as a method for endoscopic retrograde cholangiopancreaticography (ErCP) in patients with surgical reconstruction...
متن کاملThe use of the double-balloon enteroscope for endoscopic retrograde cholangiopancreatography and biliary stent placement after Roux-en-Y hepaticojejunostomy.
excludes the biliary tract from conven− tional endoscopic retrograde cholangio− pancreatography (ERCP) [1± 3]. However, the 200−cm−long double−balloon entero− scope (DBE) facilitates intubation of the afferent Roux−en−Y limb and maintains its position in front of the biliodigestive anastomosis. The 2.8−mm working chan− nel allows for the introduction of conven− tional accessories, provided they...
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عنوان ژورنال:
دوره 2010 شماره
صفحات -
تاریخ انتشار 2010