Endoscopic retrograde cholangiopancreatography in patients with surgically altered gastrointestinal anatomy
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| 024 | 7 | 0 | |a 10.1007/s00261-015-0532-7 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00261-015-0532-7 | ||
| 245 | 0 | 0 | |a Endoscopic retrograde cholangiopancreatography in patients with surgically altered gastrointestinal anatomy |h [Elektronische Daten] |c [Syed Amer, Jennifer Horsley-Silva, Christine Menias, Rahul Pannala] |
| 520 | 3 | |a Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered upper gastrointestinal anatomy, such as Roux-en-Y gastric bypass (RYGB), can be more challenging compared to those with a normal anatomy. Detailed assessment of cross-sectional imaging features by the radiologist, especially the pancreaticobiliary anatomy, strictures, and stones, is very helpful to the endoscopist in planning the procedure. In addition, any information on enteral anastomoses (for e.g., gastrojejunal strictures and afferent limb obstruction) is also very useful. The endoscopist should review the operative note to understand the exact anatomy prior to procedure. RYGB, which is performed for medically complicated obesity, is the most commonly encountered altered anatomy ERCP procedure. Other situations include patients who have had a pancreaticoduodenectomy or a hepaticojejunostomy. Balloon-assisted deep enteroscopy (single and double-balloon enteroscopy) or rotational endoscopy is often used to traverse the length of the intestine to reach the papilla. In addition, ERCP in these patients is further challenging due to the oblique orientation of the papilla relative to the forward viewing endoscope and the limited enteroscopy-length therapeutic accessories that are currently available. Overall, reported therapeutic success is approximately 70-75% with a complication rate of 3-4%. Alternative approaches include percutaneous transhepatic cholangiography, laparoscopy-assisted ERCP, or surgery. Given the complexity, ERCP in patients with surgically altered anatomy should be performed in close collaboration with body imagers, interventional radiology, and surgical services. | |
| 540 | |a Springer Science+Business Media New York, 2015 | ||
| 690 | 7 | |a ERCP |2 nationallicence | |
| 690 | 7 | |a Surgically altered anatomy |2 nationallicence | |
| 690 | 7 | |a Abdominal imaging |2 nationallicence | |
| 690 | 7 | |a Roux-en-Y gastric bypass |2 nationallicence | |
| 690 | 7 | |a ERCP : Endoscopic retrograde cholangiopancreatography |2 nationallicence | |
| 690 | 7 | |a RYGB : Roux-en-Y gastric bypass |2 nationallicence | |
| 690 | 7 | |a DBE : Double-balloon enteroscopy |2 nationallicence | |
| 690 | 7 | |a SBE : Single-balloon enteroscopy |2 nationallicence | |
| 690 | 7 | |a SE : Spiral enteroscopy |2 nationallicence | |
| 690 | 7 | |a PTC : Percutaneous transhepatic cholangiography |2 nationallicence | |
| 690 | 7 | |a EUS-CP : Endoscopic ultrasound-guided cholangiopancreatography |2 nationallicence | |
| 690 | 7 | |a LA-ERCP : Laparoscopy-assisted endoscopic retrograde cholangiopancreatography |2 nationallicence | |
| 690 | 7 | |a US : Ultrasound |2 nationallicence | |
| 700 | 1 | |a Amer |D Syed |u Division of Internal Medicine, Mayo Clinic, Scottsdale, AZ, USA |4 aut | |
| 700 | 1 | |a Horsley-Silva |D Jennifer |u Division of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ, USA |4 aut | |
| 700 | 1 | |a Menias |D Christine |u Division of Radiology, Mayo Clinic, Scottsdale, AZ, USA |4 aut | |
| 700 | 1 | |a Pannala |D Rahul |u Division of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ, USA |4 aut | |
| 773 | 0 | |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/8(2015-10-01), 2921-2931 |x 0942-8925 |q 40:8<2921 |1 2015 |2 40 |o 261 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00261-015-0532-7 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00261-015-0532-7 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Amer |D Syed |u Division of Internal Medicine, Mayo Clinic, Scottsdale, AZ, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Horsley-Silva |D Jennifer |u Division of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Menias |D Christine |u Division of Radiology, Mayo Clinic, Scottsdale, AZ, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Pannala |D Rahul |u Division of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/8(2015-10-01), 2921-2931 |x 0942-8925 |q 40:8<2921 |1 2015 |2 40 |o 261 | ||