Korean Journal of Gastrointestinal Endoscopy 1992;12(2): 267-269.
Billroth Ⅱ 위절제술 환자에서의 내시경적 역행성 췌담관 조영술 및 유두부 절개술 ( Endoscopic Retrograde Cholangiopancreatography and Endoscopic Sphincterotomy in Patients with a Previous Billroth-Ⅱ Resection )
김명환, 이선영, 이성구, 민영일, 이승규, 민병철 (Myung Hwan Kim, Sun Young Yi, Sung Koo Lee, Young Il Min, Sung Gyu Lee and Pyung Chul Min)
Abstract
Endoscopic retrograde cholangiopancreatography(ERCP) and its therapeutic developments have become popular in the managemtnt of patients with biliary and pancreatic disease. But certain to anatomical arrangements such as Billroth II partial gastrectomy may cause technical difficulty In the patients with a previous Billroth-II resection, it may be difficult to enter the afferent loop Selectively; and to reach and identify the papilla. Cannulation and sphincterotomy are more difficult because of the direction of approach. Endoscopic retrograde cholangiopancreatography(ERCP) and/or endoscopic sphineterotomy (EST) was perfomed on 12 patients, who had received Billroth II gastrectomy. We could achieve successful cholangiogram in 9 patients(75%) out of 12 patients, And EST was done successfully in 5 patients(83%) out of 6 patients.
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