Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy (with video)

Tanisaka, Yuki; Ryozawa, Shomei; Sudo, Kosuke; Fujita, Akashi; Mizuide, Masafumi; Nonaka, Kouichi; Tashima, Tomoaki

doi:10.1002/jgh3.12163

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…However, the ease of insertion may come with difficulty cannulating the papilla, which usually sits in the 1 to 3 o'clock position. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] Another technique involved changing the patient position during the procedure, which brought challenges to the endoscopy and was limited by patient intolerance. 20,21 There are few reports in the literature of successful EUS in patients with SIT.…”

Section: Discussionmentioning

confidence: 99%

“…Changed position of room equipment. 180-degree clockwise turn 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 Prone, left lateral Right 180-degree clockwise rotation in stomach or duodenum. Alternatively, “pursuing endoscopy in direction inverse to usual.” Difficulty cannulating and performing papillotomy of 1-3 o’clock papilla needing advanced papillotomy techniques.…”

Section: Discussionmentioning

confidence: 99%

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ERCP and EUS technique in situs inversus totalis: preparing for a left-sided plot twist

et al. 2022

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

ERCP and EUS technique in situs inversus totalis: preparing for a left-sided plot twist

et al. 2022

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“…79 Billroth I. anatomy enables the use of a side-viewing duodenoscope inserted along the lesser curve of the stomach into the duodenum, rotated counterclockwise, placed the patient in the prone position with the endoscopist on his right side. 80 There are only a few reports about endoscopic ultrasound (EUS) for diagnostic or therapeutic procedures. Kumbhari et al reported the first EUS in a patient with situs inversus totalis, and revealed a pancreatic malignancy.…”

Section: Ercpmentioning

confidence: 99%

Situs Inversus Totalis: A Clinical Review

Eitler¹,

Bibok²,

Telkes³

2022

IJGM

116

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Situs inversus totalis is a rare congenital abnormality characterized by a mirror-image transposition of both the abdominal and the thoracic organs. While this anomaly is known since the ancient times, practicing doctors do not have much experience with it. Laterality is established early in development, and any failure in that process might lead to a wide variety of disorders which may be partial or complete. Situs solitus describes the normal anatomy, situs inversus is the complete reversal, and situs ambiguous is used for any other abnormality of left-right development. Sidedness is regulated by genes: over 100 genes have been linked to laterality defects. Frequency of situs inversus is 1:10,000 and is more frequent in males: 1.5:1. Advanced imaging modalities can be used to assess fine anatomical details, which play a crucial role in these cases to plan radiologic or surgical interventions. Percutaneous biliary procedures, portal vein embolization are really challenging procedures in SIT patients due to the mirror effect. As most surgeons are right-handed, SIT operations can cause difficulties: handling the instruments with their left hand or the pedals with their left foot can be uncomfortable Organ, especially liver transplantation represents an extraordinary surgical challenge. Solutions to overcome the anatomic differences include the use of segment or reduced size graft with rotation, modified piggy-back technique, side to-side caval anastomosis, and vascular conduit. Because of its rarity and special nature, surgical patients with situs inversus may require more flexibility and creativity from the surgical team.

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Laparoscopic common bile duct exploration to treat choledocholithiasis in situs inversus patients: A technical review

Chiu¹,

Chuang²,

Chuang³

et al. 2023

World J Clin Cases

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Situs inversus (SI) is a rare congenital condition characterized by a mirror-image transposition of the major visceral organs. Since the 1990s, more than one hundred SI patients have been reported to have successfully undergone laparoscopic cholecystectomy. In these cases, the major problem is to overcome is the left-right condition for right-handed surgeons. Laparoscopic common bile duct exploration (LCBDE), an alternative to treat patients with bile duct stones, has shown equivalent efficacy and is less likely to cause pancreatitis than endoscopic retrograde cholangiopancreatography. Recent updated meta-analyses revealed that a shorter postoperative hospital stay, fewer procedural interventions, cost-effectiveness, a higher stone clearance rate, and fewer perioperative complications are additional advantages of LCBDE. However, the technique is technically demanding, even for skilled laparoscopic surgeons. Conducting LCBDE in patients with difficult situations, such as SI, is more complex than usual. We herein review published SI patients with choledocholithiasis treated by LCBDE, including our own experience, and this paper focuses on the technical aspects.

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Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy (with video)

Cited by 3 publications

References 8 publications

ERCP and EUS technique in situs inversus totalis: preparing for a left-sided plot twist

ERCP and EUS technique in situs inversus totalis: preparing for a left-sided plot twist

Situs Inversus Totalis: A Clinical Review

Laparoscopic common bile duct exploration to treat choledocholithiasis in situs inversus patients: A technical review

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