| Theme |
New developments in capsule/balloon-assisted endoscopy |
| Title |
ERCP using single balloon endoscopy in patients with Roux-en-Y anatomy |
| Author |
Kentaro Ishii |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Takao Itoi |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Atsushi Sofuni |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Fumihide Itokawa |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Toshio Kurihara |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Takayoshi Tsuchiya |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Shujiro Tsuji |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Nobuhito Ikeuchi |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| Author |
Fuminori Moriyasu |
Department of Gastroenterology and Hepatology, Tokyo Medical University |
| [ Summary ] |
Endoscopic insertion into the afferent loop has been considered difficult in patients with Roux-en-Y reconstruction. The use of single balloon enteroscopy (SBE) provided easier access into afferent loops. However we still experience cases in which it is impossible to reach the major papilla or biliopancreatic anastomosis site because of sharp angulations in the Roux-en-Y limb or the presence of adhesions. ERCP and associated procedures are generaly difficult. One reason for this is a limited number of accessories which can be used because SBEs have long working lengths (200 cm). In addition, we encounter papilla in difficult locations. In this report we describe techniques for performing ERCP using SBE in patients with R-Y anatomy. |