KIANIČKA, Bohuslav, Petr DÍTĚ and Petr PISKAČ. Pitfalls of Pancreatobiliary Endoscopy after Billroth II Gastrectomy. Hepato-gastroenterology. ATHENS, 2012, vol. 59, No 113, p. 17-21. ISSN 0172-6390. Available from: https://dx.doi.org/10.5754/hge10186.
Other formats:   BibTeX LaTeX RIS
Basic information
Original name Pitfalls of Pancreatobiliary Endoscopy after Billroth II Gastrectomy
Authors KIANIČKA, Bohuslav (203 Czech Republic, guarantor, belonging to the institution), Petr DÍTĚ (203 Czech Republic) and Petr PISKAČ (203 Czech Republic, belonging to the institution).
Edition Hepato-gastroenterology, ATHENS, 2012, 0172-6390.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher Greece
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 0.774
RIV identification code RIV/00216224:14110/12:00060480
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.5754/hge10186
UT WoS 000301397300005
Keywords in English Billroth II gastrectomy; Pancreatobiliary endoscopy; Endoscopic treatment
Tags International impact
Changed by Changed by: Mgr. Michal Petr, učo 65024. Changed: 25/7/2012 13:10.
Abstract
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.
PrintDisplayed: 1/8/2024 00:22