Endoscopic Retrograde Cholangiopancreatography in Bilioenteric Anastomosis

다국어 초록 (Multilingual Abstract)

For diagnosis and treatment of pancreatobiliary diseases, endoscopic retrograde cholangiopancreatography (ERCP) is usefulmethod nowadays and its technically success rate is usually in about 90%-95% of patients with normal gastric and pancreaticobiliaryanatomy. Recently ERCP is significantly challenging after intestinal reconstruction, particularly in patients who have undergonepancreaticoduodenectomy (PD, classic Whipple’s operation) or pylorus-preserving pancreatoduodenectomy (PPPD) withreconstruction. PD and PPPD relate to numerous techniques have been presented for reconstruction of the digestive tract andpancreaticobiliary tree during the resection bilioenteric stricture commonly occurs later in the postoperative course and developedin 5-year cumulative probability of biliary stricture rate of 8.2% and pancreaticoenteric stricture of 4.6%. This complication was nodifference in incidence between patients with benign or malignant disease. In PD or PPPD with reconstruction, short pancreatobiliarylimb with biliojejunal anastomosis site is made usually, modestly success rate of intubation to blind loop and cannulation withconventional endoscope. However, in combined Reux-en-Y anastomosis, longer pancreatobiliary limb and additional Reux limb areobstacle to success intubation and cannulation by using conventional endoscope. In this situation, new designed enetroscope withdedicated accessories is effcient.

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