Diagnostic and Therapeutic Endoscopic Retrograde Cholangiography Using a Short-Type Double-Balloon Endoscope in Patients With Altered Gastrointestinal Anatomy: A Multicenter Prospective Study in Japan.
Am J Gastroenterol
; 111(12): 1750-1758, 2016 Dec.
Article
en En
| MEDLINE
| ID: mdl-27670601
ABSTRACT
OBJECTIVES:
To evaluate the utility and safety of a short-type double-balloon endoscope (DBE) in the treatment of biliary disease in patients with surgically altered gastrointestinal (GI) anatomy.METHODS:
This study was conducted as a multicenter, single-arm, prospective trial at five tertiary academic care centers and three community-based hospitals in Japan. Consecutive patients with biliary disease with altered GI anatomy were prospectively included in this study.RESULTS:
A total of 311 patients underwent double-balloon endoscopic retrograde cholangiography (ERC). The success rate of reaching the target site, the primary end point, was 97.7% (95% confidence interval (CI) 95.4-99.1). The success rate of biliary cannulation and contrast injection of the targeted duct, the secondary end point, was 96.4% (95% CI 93.6-98.2), and the therapeutic success rate was 97.9% (95% CI 95.4-99.2). Adverse events occurred in 33 patients (10.6%, 95% CI 7.1-14.0) and were managed conservatively in all patients with the exception of 1 in whom a perforation developed, requiring emergency surgery.CONCLUSIONS:
ERC using a short-type DBE resulted in an excellent therapeutic success rate and a low rate of adverse events. This treatment can be a first-line treatment for biliary disease in patients with surgically altered GI anatomy.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos del Sistema Digestivo
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Procedimientos Quirúrgicos del Sistema Biliar
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Colelitiasis
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Colangitis
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Colangiopancreatografia Retrógrada Endoscópica
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Ictericia Obstructiva
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Enteroscopía de Doble Balón
Tipo de estudio:
Clinical_trials
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Diagnostic_studies
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Observational_studies
Límite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Asia
Idioma:
En
Año:
2016
Tipo del documento:
Article