2012
Pitfalls of Pancreatobiliary Endoscopy after Billroth II Gastrectomy
KIANIČKA, Bohuslav, Petr DÍTĚ a Petr PISKAČZákladní údaje
Originální název
Pitfalls of Pancreatobiliary Endoscopy after Billroth II Gastrectomy
Autoři
KIANIČKA, Bohuslav (203 Česká republika, garant, domácí), Petr DÍTĚ (203 Česká republika) a Petr PISKAČ (203 Česká republika, domácí)
Vydání
Hepato-gastroenterology, ATHENS, 2012, 0172-6390
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30200 3.2 Clinical medicine
Stát vydavatele
Řecko
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 0.774
Kód RIV
RIV/00216224:14110/12:00060480
Organizační jednotka
Lékařská fakulta
UT WoS
000301397300005
Klíčová slova anglicky
Billroth II gastrectomy; Pancreatobiliary endoscopy; Endoscopic treatment
Příznaky
Mezinárodní význam
Změněno: 25. 7. 2012 13:10, Mgr. Michal Petr
Anotace
V originále
Background/Aims: The aim of this retrospective study is the analysis of the success rate of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in our group of patients with Billroth II gastrectomy. Methodology: The study of the group was carried out during 14 years, i.e. from November 1994 to December 2008. It retrospectively evaluates 120 patients with Billroth II gastrectomy. Results: A cannulation success rate of 90.8% (109 of 120 patients) was reached in performing ERCP in 120 patients with Billroth II gastrectomy. There were normal ERCP results in 4 patients. ERCP results in the remaining 105 patients were pathological. Endoscopic treatment was started in all of these 105 patients immediately after diagnostic ERCP. Overall, therapeutic ERCP was completely successful in 91 of 105 patients (86.66%) who were originally treated with endoscopy. Conclusions: ERCP, in patients with Billroth II gastrectomy is much more demanding in contrast with standard procedure due to different postoperative anatomy. ERCP success is determined mainly by great personal experience and skillfulness of the endoscopist. ERCP performed lege artis in patients with Billroth II gastrectomy is a highly effective and safe method where the success rate reached can be almost the same as in a normal anatomical situation.