Endoscopy 2014; 46(06): 529-532
DOI: 10.1055/s-0034-1365516
Case report/series
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic retrograde cholangiopancreatography using a cap-assisted highly flexible colonoscope in patients with Roux-en-Y anastomosis

So Nakaji
Department of Gastroenterology, Kameda Medical Center, Kamogawa, Chiba, Japan
,
Nobuto Hirata
Department of Gastroenterology, Kameda Medical Center, Kamogawa, Chiba, Japan
,
Kenji Yamauchi
Department of Gastroenterology, Kameda Medical Center, Kamogawa, Chiba, Japan
,
Toshiyasu Shiratori
Department of Gastroenterology, Kameda Medical Center, Kamogawa, Chiba, Japan
,
Masayoshi Kobayashi
Department of Gastroenterology, Kameda Medical Center, Kamogawa, Chiba, Japan
,
Hiroyuki Fujii
Department of Gastroenterology, Kameda Medical Center, Kamogawa, Chiba, Japan
,
Eiji Ishii
Department of Gastroenterology, Kameda Medical Center, Kamogawa, Chiba, Japan
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Weitere Informationen

Publikationsverlauf

submitted 03. Januar 2014

accepted after revision 20. Januar 2014

Publikationsdatum:
25. April 2014 (eFirst)

In this retrospective study of 10 patients with Roux-en-Y anastomosis, endoscopic retrograde cholangiopancreatography (ERCP) using a cap-assisted thin highly flexible colonoscope was done for treatment of bile duct stones. In five patients, the papilla of Vater was successfully reached using the colonoscope alone. However, in the other five patients, combination with an overtube was needed to reach the papilla. In all cases, complete removal of bile duct stones was accomplished. Procedure-related adverse events occurred in two cases. In conclusion, use of a cap-assisted thin highly flexible colonoscope for ERCP was successful in patients with a Roux-en-Y anastomosis.