Underwater cap-assisted endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy: a pilot study
Underwater cap-assisted endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy: a pilot study
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对手术改变解剖结构的患者进行水下帽辅助内窥镜逆行胰胆管造影：一项初步研究
DOI：
10.1055/a-1311-9779
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发表时间：
2021-01-12
期刊：
影响因子：
9.3
通讯作者：
Repici, Alessandro
中科院分区：
文献类型：
--
作者：
Fugazza, Alessandro;Anderloni, Andrea;Repici, Alessandro
内镜逆行胆管造影（ERCP）在手术解剖改变（SAA）患者中的应用在技术上具有挑战性，并且与大量失败相关。我们研究了一种治疗胆管结石（BDSs）的新技术的可行性和有效性，称为水下帽辅助ERCP （u-ERCP）。方法纳入2019年6月至2020年2月期间所有SAA合并bds继发黄疸或胆管炎并接受u-ERCP的患者。u-ERCP技术结合了儿童结肠镜的水下进步和内窥镜尖端的透明帽。我们评估了与u-ERCP相关的技术成功、临床成功和不良事件。结果我们描述了技术本身和我们在6例患者的初步经验。所有患者均顺利完成手术，无不良事件发生。在随访期间，没有患者因症状复发而需要额外治疗。结论u-ERCP可以被认为是内镜下成功治疗SAA患者胆道疾病的一种有希望的替代方法。
Introduction Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy (SAA) is technically challenging and associated with a significant number of failures. We examined the feasibility and efficacy of a novel technique for the management of bile duct stones (BDSs), called underwater cap-assisted ERCP (u-ERCP).Methods Between June 2019 and February 2020 all patients with SAA with jaundice or cholangitis secondary to BDSs who underwent u-ERCP were enrolled. The u-ERCP technique combines the underwater advancement of a pediatric colonoscope with a transparent cap fitted on the tip of the endoscope. We evaluated the technical success, clinical success, and adverse events associated with u-ERCP.Results We describe the technique itself and our initial experience in six patients. A complete and successful procedure was carried out in all patients, with the occurrence of no adverse events. None of the patients needed additional treatments for recurrence of symptoms during the followup period.Conclusions u-ERCP can be considered as a promising alternative for successful endoscopic management of biliary disease in patients with SAA.