Experiences of Biliary Interventions Using Short Double‐balloon Enteroscopy in Patients With Roux‐en‐y Anastomosis or Hepaticojejunostomy

Abstract

Biliary interventions via DBE using a short enteroscope are feasible in patients with surgical anatomy.

Diagnostic and Therapeutic Endoscopic Retrograde Cholangiography Using a Short-Type Double-Balloon Endoscope in Patients With Altered Gastrointestinal Anatomy: A Multicenter Prospective Study in Japan

“…Most of the endoscopes used in the study by Shah et al ( 37 ) study were either standardtype DBEs or standard-type single-balloon endoscopes, whereas we used only a short-type DBE. Previous studies of ERCs using only a short-type DBE have reported success rates of reaching the target site of 86-100%, success rates of ERC-related interventions of 90-96%, and overall success rates of 81-94% (38)(39)(40). Th ese rates are consistent with the rates in our present study and suggest that the use of a short-type DBE contributes to an improved procedural success rate.…”

“…Th e incidence of DB-ERC-related adverse events has been reported to be 0-17% (30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41), but most relevant reports are based on small numbers of patients, and no solid data have been reported. In a study conducted by Shah et al ( 37 ), adverse events occurred in 12% of patients and included pancreatitis ( n =5; 4 mild and 1 severe cases), mild bleeding ( n =1), abdominal pain requiring hospital admission ( n =3), throat pain requiring physician contact ( n =4) and perforations ( n =2).…”

Evidence-based clinical practice guidelines for cholelithiasis 2016

“…Conversely, the development of balloon endoscopy has led to an increased use of endoscopic treatment for patients with hepatolithiasis following biliary reconstruction [215,216]. Shimatani et al [215] used short double-balloon enteroscopy to treat seven patients with stones in a biliojejunal anastomosis after pancreaticoduodenostomy, and reported that the site of anastomosis was reached and stones were completely removed in all patients.…”

Utility of the Short Double-Balloon Enteroscope to Perform Pancreaticobiliary Interventions in Patients with Surgically Altered Anatomy in a US Multicenter Study

“…DBE has been demonstrated in small case series to be a useful tool in post-surgical patients who require an endoscopic retrograde cholangiopancreaticography (ERCP) [1,[4][5][6][7]. DBE-assisted ERCP (DB-ERCP) allows the endoscope to reach the papilla or ductal anastomoses in patients with previous small bowel surgery that would otherwise be challenging or impossible with a normal duodenoscope or forward-viewing endoscope (e.g., pediatric colonoscope).…”