Efficacy and factors affecting procedure results of short-type single-balloon enteroscopy–assisted ERCP for altered anatomy: a multicenter cohort in Japan
| Autor: | Akio Katanuma, Tomoya Ogawa, Eisuke Iwasaki, Naoya Izawa, Masafumi Mizuide, Ryuichiro Araki, Kazunari Nakahara, Yoshinobu Okabe, Akashi Fujita, Hiroya Terabe, Takao Itoi, Ryo Morita, Kazuhiro Minami, Yuki Tanisaka, Atsushi Irisawa, Toshifumi Kin, Mitsuhiro Kida, Hiroshi Yamauchi, Kentaro Ishii, Shomei Ryozawa |
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| Rok vydání: | 2022 |
| Předmět: |
Cholangiopancreatography
Endoscopic Retrograde Enteroscopy Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test business.industry Gastroenterology Anastomosis Roux-en-Y Retrospective cohort study Single-Balloon Enteroscopy Odds ratio Anatomy Confidence interval Japan Cohort medicine Humans Radiology Nuclear Medicine and imaging Adverse effect business Aged Retrospective Studies |
| Zdroj: | Gastrointestinal Endoscopy. 95:310-318.e1 |
| ISSN: | 0016-5107 |
| Popis: | Background and Aims Although single-balloon enteroscopy (SBE)-assisted or short-type SBE (short SBE)-assisted endoscopic retrograde cholangiopancreatography (ERCP) has been reported as useful in patients with surgically altered anatomy, most of the studies had small sample sizes or single-center designs. This study aimed to evaluate the efficacy and factors affecting the procedure results of short SBE-assisted ERCP in patients with surgically altered anatomy. Methods This multicenter retrospective study was conducted at 8 tertiary referral care centers in Japan. The data of patients who underwent ERCP-related procedures using short SBE between September 2011 and August 2019 at each facility were analyzed. Results Overall, 1,318 patients were included in this analysis. The enteroscopy (reaching the target site), cannulation, and total procedural success rates were 87.9% (95% confidence interval [CI], 86.1%-89.6%), 87.0% (95% CI, 84.9%-88.8%), and 74.9% (95% CI, 72.5%-77.2%), respectively. Adverse events occurred in 7.7% (95% CI, 6.4%-9.3%). Multiple logistic regression analysis indicated that age (≥75 years), Roux-en-Y reconstruction, pancreatic indication, and malignancy were factors affecting the total procedural failure. Conclusions This large-scale study proved that short SBE-assisted ERCP in patients with surgically altered anatomy was effective. Moreover, it clarified factors affecting the procedure results. Proficiency with alternative treatment techniques is required in difficult cases. |
| Databáze: | OpenAIRE |
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