García-Menocal HJL, Brizuela QRA, Ruíz TJ, Anido EVM, Olazábal GE

Language: Spanish
References: 31
Page: 357-365
PDF size: 129.14 Kb.

ABSTRACT

Introduction: endoscopic access to the bile duct in patients with hepaticjejunostomy is a complex act upon by the anatomical limitations imposed by this surgery. The double-balloon endoscope approach achieves this area, with diagnostic and therapeutic possibilities.
Objective: to describe the results of endoscopic approach in patients with biliarydigestive surgery.
Methods: we present a report of 6 cases of biliary-digestive bypass clinical elements, humoral and ultrasound of biliary obstruction. Exploration was performed according to the technique of double balloon enteroscopy to address the referral site and therapeutic applications.
Results: in all cases, gains access to the hepatic-jejunostomy and dilation make Soehendra, one of them also with balloon tires. 2 stones were extracted in 5 patients and plastic prosthesis was placed 7 Fr No complications.
Conclusions: the double-balloon endoscopy was a useful and safe procedure for access to the bile duct in patients with hepatic-jejunostomy.

REFERENCES

1. Moreels TG, Hubens GJ, Ysebaert DK, Op de Beeck B, Pelckmans PA. Diagnostic and therapeutic double-balloon enteroscopy after small bowel Roux-en-Y reconstructive surgery. Digestion. 2009;80(3):141-7.

2. Iwamoto S, Ryozawa S, Yamamoto H, Taba K, Ishigaki N, Harano M, et al. Double balloon endoscope facilitates endoscopic retrograde cholangiopancreatography in roux-en-y anastomosis patients. Digestive Endoscopy. 2010,22(1):64-8.

3. Yamamoto H, Kita H, Sunada K, Hayashi Y, Sato T, Yano T, et al. Clinical outcomes of double-balloon endoscopy for the diagnosis and treatment of smallintestinal diseases. Clin Gastroenterol Hepatol. 2004;2(11):1010-6.

4. Samaha E, Rahmi G, Landi B, Lorenceau-Savale C, Malamut G, Canard JM, et al. Long-term outcome of patients treated with double balloon enteroscopy for small bowel vascular lesions. Am J Gastroenterol. 2012 Feb;107(2):240-6.

5. Mönkemüller K, Fry LC, Bellutti M, Neumann H, Malfertheiner P. ERCP with the double balloon enteroscope in patients with Roux-en-Y anastomosis. Surg Endosc. 2009 Sep;23(9):1961-7.

6. Yamamoto H, Sekine Y, Sato Y, Higashizawa T, Miyata T, Iino S, et al. Total enteroscopy with a nonsurgical steerable double-balloon method. Gastroint Endosc. 2001;53(2):216-20.

7. Vilmann P, Jensen T, Hendel J. Double balloon endoscopy in obscure GI bleeding: the Danish experience. Gastrointestinal Endoscopy. 2007;66(3):S63-5.

8. Shimatani M, Takaoko M, Tokuhara M, Miyoshi H, Ikeura T, Okazaki K. Review of diagnostic and therapeuthic endoscopic retrograde cholangiopancreatography using several endoscopic methods in patients with surgically altered gastrointestinal anatomy. W J Gastrointest Endosc. 2015 June 10;7(6):617-27.

9. Tsutsumi K, Kato H, Tomoda T, Matsumoto K, Sakakihara I, Yamamoto N, et al. Partial stent-in-stent placement of biliary metallic stents using a short doubleballoon enteroscopy. W J Gastroentero. 2012 Dec 7;18(45):6674-6.

10. Shimatani M, Matsushita M, Takaoka M, Koyabu M, Ikeura T, Kato K, et al. Effective “short” double-balloon enteroscope for diagnostic and therapeutic ERCP in patients with altered gastrointestinal anatomy: a large case series. Can J Gastroenterol. 2011;25(11):615-9.

11. Mönkemüller K, Fry LC, Neumann H, Rickes S, Malfertheiner P. Utilidad diagnóstica y terapéutica de la endoscopía de doble balón: experiencia con 225 exámenes. Acta Gastroenterológica Latinoamericana. 2007 Diciembre;37(4):216-23.

12. Takaoka M, Shimatani M, Ikeura T, Koyabu M, Kusuda T, Fukata N, et al. Diagnostic and therapeutic procedure with a short double-balloon enteroscope and cholangioscopy in a patient with acute cholangitis due to hepatolithiasis. Gastrointestinal Endoscopy. 2009;70(6):1277-9.

13. Chu YC, Yang CC, Yeh YH, Chen CH, Yueh SK. Double-balloon enteroscopy application in biliary tract diseased-its therapeutic and diagnostic functions. Gastrointest Endosc. 2008;66(7):275-9.

14. Pohl J, Blancas JM, Cave D, Choi KY, Delvaux M, Ell C, et al. Consensus report of the 2nd International Conference on Double Balloon Endoscopy . Current status of DBE ± consensus document. Endoscopy. 2008;40(2):156-60.

15. Saleem A, Baron TH, Gostout CJ, Topazian MD, Levy MJ, Petersen BT, et al. Endoscopic retrograde cholangiopancreatography using a single-balloon enteroscope in patients with altered Roux-en-Y anatomy. Endoscopy. 2010 Aug;42(8):656-60.

16. Neumann H, Fry LC, Meyer F, Malfertheiner P, Monkemuller K. Endoscopic retrograde cholangiopancreatography using the single balloon enteroscope technique in patients with Roux-en-Y anastomosis. Digestion. 2009;80(1):52-7.

17. Matsushita M, Shimatani M, Takaoka M, Okazaki K. Effective endoscope for endoscopic retrograde cholangiopancreatography in patients with Roux-en-Y anastomosis: a single-, double-, or "short" double-balloon enteroscope? Dig Dis Sci. 2010 Mar;55(3):874-5.

18. Varabel A, Arlouski Y, Vizhinis E, Shuleika A, Lagodich N, Derkacheva N. The use of double balloon enteroscopy for diagnosis and treatment of strictures of hepaticojejunal anastomoses adfter primary correction of bile duct injuries. W Inne Rech Maloinw. 2014 June;9(2):219-25.

19. Bruno M. Double balloon scope for endoscopic retrograde Cholangiopancreatography. Neth J Med. 2008 July-august;66(7):267.

20. Ruíz J, Torres R. Translaparoscopic jejunal approach for benign stricture of Roux-en-Y hepaticojejunostomy. Surg Endosc. 2001;15(1):518-9.

21. Koornstra JJ, Fry L, Mönkemüller K. ERCP with the balloon-assisted enteroscopy technique: a systematic review. Dig Dis. 2008;26(4):324-9.

22. Maaser C, Lenze F, Bokemeyer M, Ulleric H, Domaqk D, Bruewer M, et al. Double balloon enteroscopy; a useful tool for diagnostic and therapeutic procedures in the pancreaticobiliary system. Am J Gastroenterol. 2008;103(4):894-900.

23. Kuga R, Furuya CK Jr, Hondo FY, Ide E, Ishioka S, Sakai P. ERCP using doubleballoon enteroscopy in patients with Roux-en-Y anatomy. Dig Dis. 2008;26(4):330-5.

24. Takaoka M, Shimatani M, Ikeura T, Koyabu M, Kusuda T, Fukata N, et al. Diagnostic and therapeutic procedure with a short double-balloonenteroscope and cholangioscopy in a patient with acute cholangitis due to hepatolithiasis. Gastrointestinal Endoscopy. 2009;70(6):1277-9.

25. Mönkemüller K, Vormbrock K, Kassalik M, Sancar A. Direct percutaneous endoscopic jejunostomy tube placement using double-balloon enteroscopy. Gastrointest Endosc. 2012 Feb;75(2):463-5.

26. Ross AS. A decade of double-balloon enteroscopy: what have we learned? Gastrointest Endosc. 2011 Sep;74(3):571-2.

27. Bagci S, Tuzun A, Ates Y, Gulsen M, Uyqun A, Yesilova Z, et al. Efficacy and safety of endoscopic retrograde cholangiopancreatography in patients with Billroth II anastomosis. Hepatogastroenterology. 2005;52(62):356-9.

28. Chi-Liang C, Nai-jen L, Jui-Hsiang T, Ming-Chin Y, Yi-Ning T, et al. Doubleballoon enteroscopy for ERCP in patients with Billroth II anatomy: results of a large series of papillary large-balloon dilation for biliary stone removal. Endosc Int Open. 2015 Jun;3(3):E216-22.

29. Mensink PB, Haringsma J, Kucharzik T, Cellier C, Perez-Cuadrado E, Monkemuller K, et al. Complications of double balloon enteroscopy: a multicenter survey. Endoscopy. 2007;39(7):613-5.

30. Skinner M, Velazquez-Aviña J, Monkemuller K. Using balloon-overtube-assisted enteroscopy for postoperative endoscopic retrograde cholangiopancreatography. Therap Adv Gastroenterol. 2014 November;7(6):269-79.

31. Jovanovic I, Vormbrock K, Zimmermann L, Djuranovic S, Ugljesic M, Malfertheiner P, et al. Therapeutic double-balloon enteroscopy: a binational, threecenter experience. Dig Dis. 2011;29(1):27-31.