Endoscopy 2019; 51(04): S120
DOI: 10.1055/s-0039-1681524
ESGE Days 2019 oral presentations
Saturday, April 6, 2019 14:30 – 16:00: ERCP cannulation 2 South Hall 1A
Georg Thieme Verlag KG Stuttgart · New York

UTILITY OF NEWLY DEVELOPED SHORT TYPE DOUBLE BALLOON ENDOSCOPY FOR ERCP IN POSTOPERATIVE PATIENTS WITH SURGICAL ANATOMIC VARIATIONS: A LARGE CASE SERIES

M Shimatani
1   Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan
2   Shimatani Clinic, Kobe, Japan
,
T Mitsuyama
1   Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan
,
M Tokuhara
1   Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan
,
M Masuda
1   Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan
,
T Ito
1   Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan
,
H Miyoshi
1   Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan
,
T Ikeura
1   Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan
,
M Takaoka
1   Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan
,
K Okazaki
1   Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan
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Publikationsverlauf

Publikationsdatum:
18. März 2019 (online)

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    Aims:

    The aim of this study was to evaluate the usefulness of new short DBE for ERCP in postoperative patients.

    Methods:

    From August 2015 to October 2018, ERCP using new short DBE (DB-ERCP) was performed in 238 postoperative patients (579 procedures). We retrospectively studied the success rate of reaching the blind end, the mean time to reach the blind end, the overall success rate of DB-ERCP, the mean time to complete ERCP related interventions, and adverse events.

    Results:

    The success rate of reaching the blind end was 99.1%. By type of reconstruction methods, the success rate of reaching the blind end was 95.6% in Roux-en-Y (R-Y) hepaticojejunostomy, 100% in R-Y partial gastrectomy, 96.1% in R-Y total gastrectomy, 100% in Billroth II gastrectomy (B-II), 100% in pancreatoduoderectomy (PD), 100% in pylorus preserving pancreaticoduodenectomy (PpPD) and 96.7% in others. The mean time to reach the blind end was 16.1 min. By type of reconstruction methods, the mean time to reach the blind end was 25.6 min. in R-Y hepaticojejunostomy, 16.2 min. in R-Y partial gastrectomy,17.5 min. in R-Y total gastrectomy,6.8 min. in B-II, 9.2 min. in PD, 11.7 min. in PpPD and 15.0 min. in others. The overall DB-ERCP success rate was 95.5%. By type of reconstruction methods, the overall DB-ERCP success rate was 98.8% in R-Y hepaticojejunostomy, 100% in R-Y partial gastrectomy, 95.9% in R-Y total gastrectomy, 93.8% in B-II, 96.5% in PD, 98.9% in PpPD and 90% in others. The mean time to complete DB-ERCP was 61.1 min. By type of reconstruction methods, the mean time required to completeDB-ERCP was 79.4 min. in R-Y hepaticojejunostomy, 66.4 min. in R-Y partial gastrectomy,74.4 min. in R-Y total gastrectomy,44.1 min. in B-II, 41.3 min. in PD, 46.9 min. in PpPD and 51.5 min. in others. The occurrence of adverse events was 4.0%.

    Conclusions:

    The newly developed short DBE for ERCP in postoperative patients is useful and safe.


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