The purpose of this study is to describe the feasibility of using single-balloon enteroscopy (SBE) to perform endoscopic retrograde cholangiopancreatography (ERCP) in patients who had a prior Roux-en-Y (RY) anastomosis. This case series describes four patients, one with RY gastric bypass, two with RY due to bile duct injury, and one with RY after liver transplantation, who underwent ERCP with SBE. Cholangiography was successful in three of the four patients. In the procedure that was not successful, the enteroenterostomy site could not be located. The successful procedures ranged from 65–91 min in duration. Medication doses were higher than with typical ERCPs. No procedural complications occurred. SBE for ERCP is a feasible option for endoscopic access to the biliary tree in patients with prior RY anastomoses. Limitations of this technique include the time requirement, delay in identification of the enteroenterostomy site, potential learning curve, and immature technology lacking accessories.
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Similar content being viewed by others Explore related subjectsDiscover the latest articles and news from researchers in related subjects, suggested using machine learning. AbbreviationsSingle-balloon enteroscopy
Endoscopic retrograde pancreatography
Roux-en-Y
Magnetic resonance cholangiopancreatography
Primary sclerosing cholangitis
Percutaneous transhepatic cholangiography
Double-balloon enteroscopy
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This work was funded in part by NIH training Grant T32 DK007634.
Author information Authors and AffiliationsCenter for Gastrointestinal Biology and Disease, Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina School of Medicine, CB#7080, 4140 Bioinformatics Building, 130 Mason Farm Rd., Chapel Hill, NC, 27599-7080, USA
Evan S. Dellon, Douglas R. Morgan & Ian S. Grimm
Division of Gastrointestinal Surgery, Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, USA
Geoffrey P. Kohn
Correspondence to Evan S. Dellon.
About this article Cite this articleDellon, E.S., Kohn, G.P., Morgan, D.R. et al. Endoscopic Retrograde Cholangiopancreatography with Single-Balloon Enteroscopy Is Feasible in Patients with a Prior Roux-en-Y Anastomosis. Dig Dis Sci 54, 1798–1803 (2009). https://doi.org/10.1007/s10620-008-0538-x
Received: 16 July 2008
Accepted: 11 September 2008
Published: 07 November 2008
Issue Date: August 2009
DOI: https://doi.org/10.1007/s10620-008-0538-x
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