[Endoscopic retrograde cholangiopancreatography in patients with anatomic abnormalities of the stomach due to surgery].

Autor:	Ruiz Cuesta P; Unidad de Gestión Clínica de Aparato Digestivo, Hospital Reina Sofía, Córdoba, España. Electronic address: patriciaruizcuesta@hotmail.com., Hervás Molina AJ, Muñoz García-Borruel M, Jurado García J, García Sánchez V, Pleguezuelo Navarro M, Casáis Juanena LL, Naranjo Rodríguez A
Jazyk:	Spanish; Castilian
Zdroj:	Gastroenterologia y hepatologia [Gastroenterol Hepatol] 2013 Dec; Vol. 36 (10), pp. 609-15. Date of Electronic Publication: 2013 Oct 05.
DOI:	10.1016/j.gastrohep.2013.08.001
Abstrakt:	Introduction: In patients who have undergone partial gastric resections, the difficulty of performing endoscopic retrograde cholangiopancreatography (ERCP) is increased due to the resulting anatomic abnormality. Aim: To review our experience of ERCP in patients with Billroth II gastrectomy and other types of gastrectomy (Billroth I and indeterminate) in our center. Material and Methods: We included all patients with Billroth II gastrectomy or other types of gastrectomy undergoing ERCP in a 19-year period. Results: We included 233 patients (91% men and 9% women) from 1993 to 2012. A total of 88.4% of the patients had undergone Billroth II and 11.6% had undergone other types of gastrectomy, with an ERCP success rate of 51.9% and 55.6%, respectively. The most common causes of failure were inability to cannulate (44%) and failure to identify the papilla (39.6%). The final diagnosis was choledocholithiasis in 31.8%. The mean number of sessions was 1.09. The complications rate was 2.6%. Conclusions: The success of ERCP is influenced by the technical difficulty. For this reason, the success rate in our center was slightly over 50%, but with few complications. (Copyright © 2013 Elsevier España, S.L. and AEEH y AEG. All rights reserved.)
Databáze:	MEDLINE
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