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Journal of Hepato-Biliary-Pancreatic Sciences

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01-05-2011 | Topics

Spiral enteroscopy for therapeutic ERCP in patients with surgically altered anatomy: actual technique and review of the literature

Authors: Hirofumi Kogure, Hirotsugu Watabe, Atsuo Yamada, Hiroyuki Isayama, Yutaka Yamaji, Takao Itoi, Kazuhiko Koike

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 3/2011

Abstract

Background

Endoscopic retrograde cholangiopancreatography (ERCP) and associated procedures are difficult to perform in patients with surgically altered anatomy. Recently, balloon enteroscopy (BE) has made it easier to perform ERCP in these patients. However, BE-assisted ERCP is often technically demanding and time consuming.

Methods

Spiral enteroscopy (SE), which has recently been developed, is a novel method of using a rotating overtube to pleat small bowel onto the enteroscope, thus advancing it through the lumen. We review the mechanism and efficacy of SE, especially in ERCP of patients with surgically altered anatomy, and report on the first patient to undergo ERCP using SE in Japan.

Results

Spiral enteroscopy-assisted ERCP seems to be feasible and safe in patients with surgically altered anatomy. Additionally, SE-assisted ERCP appears to be easier to perform than other methods previously described and allows stable positioning of the enteroscope in order to perform delicate therapeutic maneuvers.

Conclusions

SE for ERCP is expected to be at least as useful as balloon enteroscopy in patients with surgically altered anatomy.

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Title: Spiral enteroscopy for therapeutic ERCP in patients with surgically altered anatomy: actual technique and review of the literature
Authors: Hirofumi Kogure
Hirotsugu Watabe
Atsuo Yamada
Hiroyuki Isayama
Yutaka Yamaji
Takao Itoi
Kazuhiko Koike
Publication date: 01-05-2011
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 3/2011
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-010-0357-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Spiral enteroscopy for therapeutic ERCP in patients with surgically altered anatomy: actual technique and review of the literature

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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