Techniques in Gastrointestinal Endoscopy
Volume 10, Issue 3 , Pages 128-135 , July 2008

ERCP with the Double Balloon Enteroscope in Patients with Roux-en-Y Anastomosis

  • Klaus Mönkemüller

      Affiliations

    • Division of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University, Universitätsklinikum Magdeburg, Magdeburg, Germany.
    • Corresponding Author InformationAddress reprint requests to Klaus Mönkemüller, MD, Division of Gastroenterology, Hepatology and Infectious Diseases, Universitätsklinikum Magdeburg, Otto-von-Guericke University, Leipziger Straβe 44, 39120 Magdeburg, Germany.
    • ,
  • Rudolf Garcia-Gallont

      Affiliations

    • Division of Surgery, Herrerra-Llerandi University Hospital, Universidad Francisco Marroquin, Guatemala City, Guatemala.
    • ,
  • Helmut Neumann

      Affiliations

    • Division of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University, Universitätsklinikum Magdeburg, Magdeburg, Germany.
    • ,
  • Michael Bellutti

      Affiliations

    • Division of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University, Universitätsklinikum Magdeburg, Magdeburg, Germany.
    • ,
  • Peter Malfertheiner

      Affiliations

    • Division of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University, Universitätsklinikum Magdeburg, Magdeburg, Germany.

References 

  1. Feitoza AB, Baron TH. Endoscopy and ERCP in the setting of previous upper GI tract surgery (II. Postsurgical anatomy with alteration of the pancreaticobiliary tree). Gastrointest Endosc. 2002;55:75–79
  2. Chahal P, Baron TH, Topazian MD, et al. Endoscopic retrograde cholangiopancreatography in post-Whipple patients. Endoscopy. 2006;38:1241–1245
  3. Cotton PB, Lehman G, Vennes J, et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc. 1991;37:383–393
  4. Mensink PB, Haringsma J, Kucharzik T, et al. Complications of double balloon enteroscopy: a multicenter survey. Endoscopy. 2007;39:613–615
  5. Kadakia SC, Angueira CE, Ward JA, et al. Gastrointestinal endoscopy in patients taking antiplatelet agents and anticoagulants: survey of ASGE members (American Society for Gastrointestinal Endoscopy). Gastrointest Endosc. 1996;44:309–316
  6. May A, Nachbar L, Wardak A, et al. Double-balloon enteroscopy: preliminary experience in patients with obscure gastrointestinal bleeding or chronic abdominal pain. Endoscopy. 2003;35:985–991
  7. Heine GD, Hadithi M, Groenen MJ, et al. Double-balloon enteroscopy: indications, diagnostic yield, and complications in a series of 275 patients with suspected small-bowel disease. Endoscopy. 2006;38:42–48
  8. Mönkemüller K, Weigt J, Treiber G, et al. Diagnostic and therapeutic impact of double-balloon enteroscopy. Endoscopy. 2006;38:67–72
  9. Zhong J, Ma T, Zhang C, et al. A retrospective study of the application on double-balloon enteroscopy in 378 patients with suspected small-bowel diseases. Endoscopy. 2007;39:208–215
  10. May A, Nachbar L, Schneider M, et al. Push-and-pull enteroscopy using the double-balloon technique: method of assessing depth of insertion and training of the enteroscopy technique using the Erlangen Endo-Trainer. Endoscopy. 2005;37:66–70
  11. Bellutti M, Mönkemüller K, Fry LC, et al. ERCP mit dem Doppelballonenteroskop bei Patienten mit Roux-en-Y Anastomose. Z Gastroenterol. 2007;44:651
  12. Emmett DS, Mallat DB. Double-balloon ERCP in patients who have undergone Roux-en-Y surgery: a case series. Gastrointest Endosc. 2007;66:1038–1041
  13. Spahn TW, Grosse-Thie W, Spies P, et al. Treatment of choledocolithiasis following Roux-en Y hepaticojejunostomy using double-balloon endoscopy. Digestion. 2007;75:20–21
  14. Haruta H, Yamamoto H, Mizuta K, et al. A case of successful endoscopic balloon dilation for late anastomotic stricture of choledocojejunostomy after living donor transplantation. Liver Transpl. 2005;11:1608–1610
  15. Neumann H, Mönkemüller K, Malfertheiner P. Obscure overt GI bleeding secondary to angiodysplasias at the hepaticojejunostomy diagnosed and successfully treated using double balloon enteroscopy. Gastrointest Endosc. 2008;67:563–565
  16. Moreels TG, Roth B, Vandervliet EJ, et al. The use of the double-balloon enteroscope for endoscopic retrograde cholangiopancreatography and biliary stent placement after Roux-en-Y hepaticojejunostomy. Endoscopy. 2007;[Epub ahead of print]
  17. Chu YC, Yeh YH, Yang CC, et al. A new indication for double-balloon enteroscopy: removal of migrated metal stents through a Roux-en-Y anastomosis. Endoscopy. 2008;[Epub ahead of print]
  18. Mönkemüller K, Fry LC, Bellutti M, et al. ERCP using single balloon instead of double balloon enteroscopy in patients with Roux-en-Y anastomosis. Endoscopy. 2007;in press
  19. Aabakken L, Bretthauer M, Line PD. Double-balloon enteroscopy for endoscopic retrograde cholangiography in patients with a Roux-en-Y anastomosis. Endoscopy. 2007;39(12):1068–1071

PII: S1096-2883(07)00112-X

doi: 10.1016/j.tgie.2007.12.008

Techniques in Gastrointestinal Endoscopy
Volume 10, Issue 3 , Pages 128-135 , July 2008

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