J 2012

Pitfalls of Pancreatobiliary Endoscopy after Billroth II Gastrectomy

KIANIČKA, Bohuslav, Petr DÍTĚ and Petr PISKAČ

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

Greece

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 0.774

RIV identification code

RIV/00216224:14110/12:00060480

Organization unit

Faculty of Medicine

DOI

UT WoS

000301397300005

Keywords in English

Billroth II gastrectomy; Pancreatobiliary endoscopy; Endoscopic treatment

Tags

International impact
Změněno: 25/7/2012 13:10, Mgr. Michal Petr

Abstract

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.