Abstract Text A 83 years-old-woman with previous partial gastrectomy with Roux-en-Y gastro-jejunostomy
was hospitalized for abdominal pain and jaundice. MRCP showed common bile duct dilatation
(CBD) with gallstones inside. Considering the surgically altered anatomy (SAA), we
perform ERCP using a double-balloon enteroscope (BE-ERCP). After the visualization
of the major papilla and selective cannulation of CBD, cholangiography showed a filling
defect inside compatible as a stone of 12 mm. Biliary sphincterotomy was executed
by rotating a regular sphincterotome and, after endoscopic papillary balloon dilation,
a direct access of the enteroscope into the CBD was thecnically executed. The stone
was extracted under direct endoscopic view using a balloon catheter without any complications.
BE-ERCP is a feasible and safe therapeutic procedure in SAA [1], however it requires more procedural time and higher technical skills.
Video
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