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Efficacy and Safety of Endoscopic Papillary Balloon Dilation Using Cap-Fitted Forward-Viewing Endoscope in Patients Who Underwent Billroth II Gastrectomy
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Jong Soon Jang, Seungho Lee, Hee Seung Lee, Myeong Ho Yeon, Joung-Ho Han, Soon Man Yoon, Hee Bok Chae, Sei Jin Youn, Seon Mee Park
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Clin Endosc 2015;48(5):421-427. Published online September 30, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.5.421
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 Abstract
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- Background/Aims
Endoscopic exploration of the common bile duct (CBD) is difficult and dangerous in patients with Billroth II gastrectomy (B-II). Endoscopic papillary balloon dilation (EPBD) via a cap-fitted forward-viewing endoscope has been reported to be an effective and safe procedure. We analyzed the technical success and complications of EPBD in patients who underwent B-II. MethodsThirty-six consecutive patients with B-II were enrolled from among 2,378 patients who had undergone endoscopic retrograde cholangiopancreatography in a single institute in the last 4 years. The EPBD procedure was carried out using a cap-fitted forward-viewing endoscope with 8-mm balloon catheters for 60 seconds. We analyzed the rates of CBD exploration, technical success, and complications. ResultsAfferent loop intubation was performed in all patients and selective cannulation of the bile duct was performed in 32 patients (88.9%). Complications such as transient hypoxia were observed in two patients (5.6%) and perforation, in three patients (9.7%). The perforation sites were ductal injury in two patients and one patient showed retroperitoneal air alone without symptoms. Three patients manifested different clinical courses of severe acute pancreatitis and peritonitis, transient abdominal pain, and retroperitoneal air alone. The condition of one patient improved with surgery and that of the other two patients, with conservative management. ConclusionsPatients with perforation during EPBD in B-II showed different clinical courses. Tailored treatment strategies are necessary for improving the clinical outcomes.
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Citations
Citations to this article as recorded by  - A “One Accessory and One Guidewire-in-One Channel” Technique in a Patient with Billroth II Anastomosis
Kook Hyun Kim, Sung Bum Kim, Tae Nyeun Kim
Clinical Endoscopy.2021; 54(1): 139. CrossRef - Which scope is appropriate for endoscopic retrograde cholangiopancreatography after Billroth II reconstruction: An esophagogastroduodenoscope or a colonoscope?
Mitsuru Sugimoto, Tadayuki Takagi, Rei Suzuki, Naoki Konno, Hiroyuki Asama, Yuki Sato, Hiroki Irie, Ko Watanabe, Jun Nakamura, Hitomi Kikuchi, Mika Takasumi, Minami Hashimoto, Tsunetaka Kato, Takuto Hikichi, Hiromasa Ohira
World Journal of Gastrointestinal Endoscopy.2020; 12(8): 220. CrossRef - Recent advances in endoscopic retrograde cholangiopancreatography in Billroth II gastrectomy patients: A systematic review
Tae Young Park, Tae Jun Song
World Journal of Gastroenterology.2019; 25(24): 3091. CrossRef - Challenges of endoscopic retrograde cholangiopancreatography in patients with Billroth II gastrointestinal anatomy: A review article
Rabbinu Rangga Pribadi, Abdul Aziz Rani, Murdani Abdullah
Journal of Digestive Diseases.2019; 20(12): 631. CrossRef - Endoscopic retrograde cholangiopancreatography in Billroth II gastrectomy patients: Outcomes and potential factors affecting technical failure
Jia-Su Li, Duo-Wu Zou, Zhen-Dong Jin, Jie Chen, Xin-Gang Shi, Zhao-Shen Li, Feng Liu
Saudi Journal of Gastroenterology.2019; 25(6): 355. CrossRef - Endoscopic Management of Difficult Bile Duct Stones
Murad Aburajab, Kulwinder Dua
Current Gastroenterology Reports.2018;[Epub] CrossRef - Forward-viewing endoscope for ERCP in patients with Billroth II gastrectomy: a systematic review and meta-analysis
Tae Young Park, Chang Seok Bang, Sang Hyeon Choi, Young Joo Yang, Suk Pyo Shin, Ki Tae Suk, Gwang Ho Baik, Dong Joon Kim, Jai Hoon Yoon
Surgical Endoscopy.2018; 32(11): 4598. CrossRef - Self-expandable metal stents for choledocholithiasis in Billroth II gastrectomy patients
Min-Gui Han, Eunae Cho, Chang-Hwan Park, Chung-Hwan Jun, Seon-Young Park
Hepatobiliary & Pancreatic Diseases International.2018; 17(6): 546. CrossRef - Recent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations
Seon Mee Park
Clinical Endoscopy.2016; 49(4): 376. CrossRef
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Diagnostic Accuracy of the Initial Endoscopy for Ampullary Tumors
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Hee Seung Lee, Jong Soon Jang, Seungho Lee, Myeong Ho Yeon, Ki Bae Kim, Jae Geun Park, Joo Young Lee, Mi Jin Kim, Joung-Ho Han, Rohyun Sung, Seon Mee Park
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Clin Endosc 2015;48(3):239-246. Published online May 29, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.3.239
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Abstract
PDFPubReaderePub
- Background/Aims
Ampullary tumors come in a wide variety of malignant forms. We evaluated the diagnostic accuracy of endoscopy for ampullary tumors, and analyzed the causes of misdiagnosis. MethodsWe compared endoscopic imaging and biopsy results to final diagnoses. Types of endoscope, numbers of biopsy specimens taken, and final diagnoses were evaluated as possible factors influencing diagnostic accuracy. ResultsFinal diagnoses were 19 adenocarcinomas, 18 normal or papillitis, 11 adenomas, two adenomyomas, one paraganglioma, and one neuroendocrine tumor. The diagnostic accuracy of endoscopic imaging or the initial biopsy was identical (67.3%). At least one test was concordant with the final diagnosis in all except two cases. Compared with the final diagnosis, endoscopic imaging tended to show more advanced tumors, whereas the initial biopsy revealed less advanced lesions. The diagnostic accuracy of the initial biopsy was influenced by the type of endoscope used and the final diagnosis, but not by the number of biopsies taken. ConclusionsEndoscopy has limited accuracy in the diagnosis of ampullary tumors. However, most cases with concordant endoscopic imaging and biopsy results are identical to the final diagnosis. Therefore, in cases where both of these tests disagree, re-evaluation with a side-viewing endoscope after resolution of papillitis is required.
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Citations
Citations to this article as recorded by - Outcomes of endoscopic papillectomy of ampullary carcinoma and factors affecting additional surgery
Yoshihisa Takada, Takuya Ishikawa, Kentaro Yamao, Yasuyuki Mizutani, Tadashi Iida, Kota Uetsuki, Noriaki Gibo, Eizaburo Ohno, Hiroki Kawashima
Journal of Hepato-Biliary-Pancreatic Sciences.2024; 31(2): 110. CrossRef - When thoracic trauma does more good than harm: About an incidental finding of a gangliocytic paraganglioma of the ampulla of Vater
Guizani Rami, Mseddi Mohamed Ali, Hsairi Meriem, Saad Sarra, Zehani Alia, Ben Slima Mohamed
Clinical Case Reports.2024;[Epub] CrossRef - The Optimal Cutoff Value of Tumor Markers for Prognosis Prediction in Ampullary Cancer
Seungho Lee, Hongbeom Kim, Heeju Sohn, Mirang Lee, Hyesol Jung, Youngjae Jo, Youngmin Han, Wooil Kwon, Jin-Young Jang
Cancers.2023; 15(8): 2281. CrossRef - Obstrucción biliar por adenomioma de la ampolla de Vater
Francisco Ramos-Muñoz, Luis Carlos Hinojosa-Arco, Jorge Francisco Roldán-de la Rúa, Ana Isabel García-Salguero, Miguel Ángel Suárez-Muñoz
Gastroenterología y Hepatología.2022; 45: 69. CrossRef - Adenomatous neoplasia in the papilla of Vater endoscopic and/or surgical resection?
Erik Haraldsson, Asif Halimi, Elena Rangelova, Roberto Valente, J. Matthias Löhr, Urban Arnelo
Surgical Endoscopy.2022; 36(4): 2401. CrossRef - Endoscopic Papillectomy
Sara Teles de Campos, Marco J. Bruno
Gastrointestinal Endoscopy Clinics of North America.2022; 32(3): 545. CrossRef - Efficacy and Safety of Exploring Deeper Sections of the Infrapapillary Area of the Duodenum by Using Sedative Esophagogastroduodenoscopy
Ming-Tse Hsu, Chi-Yi Chen, Kai-Sheng Liao, Wei-Sheng Chung, Tatsuya Toyokawa
Gastroenterology Research and Practice.2022; 2022: 1. CrossRef - Ampullary Adenocarcinoma: a Mini-Review and a Case Report of a Clinically Stable Disease Patient Treated with Herbal Supplements
Khin Maung Lwin, Ye Htut Linn, Yamin Kyaw Swar Dee
Journal of Gastrointestinal Cancer.2021; 52(2): 750. CrossRef - Proposed nomogram predicting neoplastic ampullary obstruction in patients with a suspected ampulla of Vater lesion on CT
Soo Young Jang, Jin Sil Kim, Seung Yon Baek, Hye Ah Lee, Jeong Kyong Lee
Abdominal Radiology.2021; 46(7): 3128. CrossRef - Long‐term outcomes of endoscopic papillectomy for early‐stage cancer in duodenal ampullary adenoma: Comparison to surgical treatment
Jun Seong Hwang, Hoonsub So, Dongwook Oh, Tae Jun Song, Do Hyun Park, Dong‐Wan Seo, Sung Koo Lee, Myung‐Hwan Kim, Seung‐Mo Hong, Jungho Yang, Sang Soo Lee
Journal of Gastroenterology and Hepatology.2021; 36(8): 2315. CrossRef - Endoscopic management of ampullary tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
Geoffroy Vanbiervliet, Marin Strijker, Marianna Arvanitakis, Arthur Aelvoet, Urban Arnelo, Torsten Beyna, Olivier Busch, Pierre H. Deprez, Lumir Kunovsky, Alberto Larghi, Gianpiero Manes, Alan Moss, Bertrand Napoleon, Manu Nayar, Enrique Pérez-Cuadrado-Ro
Endoscopy.2021; 53(04): 429. CrossRef - Predictive factor of recurrence after endoscopic papillectomy for ampullary neoplasms
Kosuke Takahashi, Eisuke Ozawa, Ichiro Yasuda, Naohiro Komatsu, Hisamitsu Miyaaki, Ken Ohnita, Takuji Yamao, Kazuo Oba, Tatsuki Ichikawa, Kazuhiko Nakao
Journal of Hepato-Biliary-Pancreatic Sciences.2021; 28(7): 625. CrossRef - Surgical ampullectomy: A comprehensive review
Darren L Scroggie, Vasileios K Mavroeidis
World Journal of Gastrointestinal Surgery.2021; 13(11): 1338. CrossRef - Endoscopic treatment of benign ampullary tumors
I.Y. Nedoluzhko, E.I. Khon, K.V. Shishin, L.V. Shumkina, N.A. Kurushkina
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Jan-Werner Poley, Sara Campos
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Chisaki Ikeda, Naohiko Makino, Akiko Matsuda, Yasuharu Kakizaki, Tetsuya Ishizawa, Toshikazu Kobayashi, Shinpei Sugahara, Mayo Nishiduka, Michihiko Tsunoda, Junichiroh Haga, Rikiya Tsunoda, Yoshiyuki Ueno
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Wirana Angthong, Kran Jiarakoop, Kaan Tangtiang
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Woo Hyun Paik, Jin-Hyeok Hwang
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Ali Rıza KÖKSAL, Hüseyin ALKIM, Salih BOĞA, İlker ŞEN, Mehmet BAYRAM, Özgür BOSTANCI, Banu YILMAZ ÖZGÜVEN, Canan ALKIM
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