Endoscopic retrograde cholangiopancreatography using a pediatric colonoscope in patients with Roux‑en‑Y gastrectomy and an intact major duodenal papilla

医学 十二指肠大乳头 内镜逆行胰胆管造影术 Roux-en-Y吻合术 内窥镜 胃切除术 外科 内窥镜检查 胃分流术 内科学 胰腺炎 癌症 减肥 肥胖
作者
Fei Wang,Xianxiu Ge,Xueting Deng,Junjie Nie,Yuting Wang,Quanpeng Li,Guobing Jiang,Lin Miao
出处
期刊:Experimental and Therapeutic Medicine [Spandidos Publications]
卷期号:28 (4)
标识
DOI:10.3892/etm.2024.12679
摘要

Endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y gastrectomy and an intact major duodenal papilla is challenging and difficult, with unsatisfactory outcomes using various endoscopes. Limited data are available regarding the outcomes of ERCP using a pediatric colonoscope in such patients. To evaluate the efficacy of a pediatric colonoscope in patients with Roux-en-Y gastrectomy and an major duodenal intact papilla, 93 consecutive patients with Roux-en-Y gastrectomy and an intact major duodenal papilla who underwent ERCP using a pediatric colonoscope at the Medical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, (Nanjing, China) between January 2018 and December 2022 were retrospectively reviewed. Following the failure of bile duct cannulation, a double-guidewire or precut technique was utilized for advanced cannulation. Interventions were performed using standard ERCP therapeutic accessories. The results indicated that distal gastrectomy with Roux-en-Y reconstruction was performed in 38 out of 93 patients, while 55 patients underwent total gastrectomy with Roux-en-Y reconstruction. The success rates associated with endoscope insertion, endoscopic cannulation and therapeutic ERCP were 88.17% (82/93), 85.37% (70/82) and 95.71% (67/70), respectively, while the clinical intervention success and complication rates were 72.04% (67/93) and 7.53% (7/93), respectively. The endoscope insertion time was 40.78±10.04 min, and the ERCP procedure time was 88.55±16.38 min. Student's t-test showed that the endoscope insertion time and the ERCP procedure time in patients undergoing distal gastrectomy were longer than those in patients undergoing total gastrectomy (P<0.05). Binary logistic regression analysis showed that age and number of previous abdominal surgeries were independent risk factors associated with endoscope insertion failure. In conclusion, the present study demonstrated that the use of a pediatric colonoscope is efficacious and safe for patients with Roux-en-Y gastrectomy and an intact major duodenal papilla undergoing ERCP.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
玩命的雁丝完成签到 ,获得积分10
2秒前
英姑应助川川采纳,获得10
2秒前
3秒前
二愣子发布了新的文献求助10
3秒前
科研通AI6.1应助笃定采纳,获得10
3秒前
4秒前
HuiHui完成签到,获得积分10
4秒前
大个应助yanjun_j采纳,获得10
4秒前
4秒前
DongNingGao发布了新的文献求助30
5秒前
科目三应助hvgjgfjhgjh采纳,获得10
6秒前
8秒前
8秒前
9秒前
10秒前
Hyy发布了新的文献求助10
11秒前
11秒前
笃定完成签到,获得积分10
11秒前
11秒前
彭于晏应助小小李采纳,获得10
12秒前
子昂加加油完成签到,获得积分10
13秒前
多羊完成签到,获得积分10
13秒前
不安乐菱发布了新的文献求助10
14秒前
15秒前
16秒前
欢呼的冰蝶完成签到,获得积分10
16秒前
海绵发布了新的文献求助10
17秒前
健忘数据线完成签到,获得积分20
18秒前
paper123关注了科研通微信公众号
18秒前
zpy完成签到,获得积分10
18秒前
斯文败类应助成就的冬卉采纳,获得10
19秒前
19秒前
文武兼备完成签到,获得积分10
19秒前
20秒前
小刘完成签到,获得积分10
20秒前
菜头完成签到,获得积分10
20秒前
汉堡包应助可怜崽崽采纳,获得10
21秒前
科研通AI6.2应助qwe采纳,获得10
21秒前
量子星尘发布了新的文献求助10
21秒前
求助人员发布了新的文献求助30
21秒前
高分求助中
(应助此贴封号)【重要!!请各用户(尤其是新用户)详细阅读】【科研通的精品贴汇总】 10000
Handbook of pharmaceutical excipients, Ninth edition 5000
Aerospace Standards Index - 2026 ASIN2026 3000
Signals, Systems, and Signal Processing 610
Discrete-Time Signals and Systems 610
Principles of town planning : translating concepts to applications 500
Modified letrozole versus GnRH antagonist protocols in ovarian aging women for IVF: An Open-Label, Multicenter, Randomized Controlled Trial 360
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 纳米技术 有机化学 物理 生物化学 化学工程 计算机科学 复合材料 内科学 催化作用 光电子学 物理化学 电极 冶金 遗传学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 6063292
求助须知:如何正确求助?哪些是违规求助? 7895855
关于积分的说明 16314576
捐赠科研通 5206720
什么是DOI,文献DOI怎么找? 2785451
邀请新用户注册赠送积分活动 1768084
关于科研通互助平台的介绍 1647500