Published online Sep 28, 2019. doi: 10.3748/wjg.v25.i36.5505
Peer-review started: June 24, 2019
First decision: July 21, 2019
Revised: August 14, 2019
Accepted: August 24, 2019
Article in press: August 24, 2019
Published online: September 28, 2019
Bilioenteric Roux-en-Y anastomosis is one of the most complicated approaches for reconstructing the gastrointestinal tract, and endoscopic retrograde cholangiopancreatography (ERCP) is technically challenging in patients with bilioenteric Roux-en-Y anastomosis. The optimal endoscopic strategies for such cases remain unknown.
The motivation of this research was to explore the feasibility and effectiveness of single balloon enteroscopy-assisted (SBE-assisted) therapeutic ERCP in patients after bilioenteric Roux-en-Y anastomosis based on multi-disciplinary collaboration between endoscopists and surgeons.
To explore the feasibility and effectiveness of SBE-assisted therapeutic ERCP in patients after bilioenteric Roux-en-Y anastomosis based on multi-disciplinary collaboration between endoscopists and surgeons as well as report the experience from China.
This is a single center retrospective study. All of the SBE-assisted therapeutic ERCP procedures were performed by the collaboration between endoscopists and surgeons. The operation time, success rate, and complication rate were calculated.
Forty-six patients received a total of 64 SBE-assisted therapeutic ERCP procedures, with successful scope intubation in 60 (93.8%) cases and successful diagnosis in 59 (92.2%). All successfully diagnosed cases received successful therapy. None of the cases had perforation or bleeding during or after operation, and no post-ERCP pancreatitis occurred.
Based on multi-disciplinary collaboration, SBE-assisted therapeutic ERCP in patients after bilioenteric Roux-en-Y anastomosis is relatively safe and effective and has a high success rates.
Our results are encouraging for the support of SBE-assisted ERCP, and further large prospective, and multicenter studies to evaluate the efficacy of SBE-ERCP need to be conducted to confirm these findings.