J 2012

Pitfalls of Pancreatobiliary Endoscopy after Billroth II Gastrectomy

KIANIČKA, Bohuslav, Petr DÍTĚ a Petr PISKAČ

Základní 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.