Open Access

Endoscopic retrograde cholangiopancreatography using a pediatric colonoscope in patients with Roux‑en‑Y gastrectomy and an intact major duodenal papilla

  • Authors:
    • Fei Wang
    • Xian-Xiu Ge
    • Xue-Ting Deng
    • Jun-Jie Nie
    • Yu-Ting Wang
    • Quan-Peng Li
    • Guo-Bing Jiang
    • Lin Miao
  • View Affiliations

  • Published online on: August 6, 2024     https://doi.org/10.3892/etm.2024.12679
  • Article Number: 390
  • Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux‑en‑Y gastrectomy and an intact major duodenal papilla is challenging and difficult, with unsatisfactory outcomes using various endoscopes. Limited data are available regarding the outcomes of ERCP using a pediatric colonoscope in such patients. To evaluate the efficacy of a pediatric colonoscope in patients with Roux‑en‑Y gastrectomy and an major duodenal intact papilla, 93 consecutive patients with Roux‑en‑Y gastrectomy and an intact major duodenal papilla who underwent ERCP using a pediatric colonoscope at the Medical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, (Nanjing, China) between January 2018 and December 2022 were retrospectively reviewed. Following the failure of bile duct cannulation, a double‑guidewire or precut technique was utilized for advanced cannulation. Interventions were performed using standard ERCP therapeutic accessories. The results indicated that distal gastrectomy with Roux‑en‑Y reconstruction was performed in 38 out of 93 patients, while 55 patients underwent total gastrectomy with Roux‑en‑Y reconstruction. The success rates associated with endoscope insertion, endoscopic cannulation and therapeutic ERCP were 88.17% (82/93), 85.37% (70/82) and 95.71% (67/70), respectively, while the clinical intervention success and complication rates were 72.04% (67/93) and 7.53% (7/93), respectively. The endoscope insertion time was 40.78±10.04 min, and the ERCP procedure time was 88.55±16.38 min. Student's t‑test showed that the endoscope insertion time and the ERCP procedure time in patients undergoing distal gastrectomy were longer than those in patients undergoing total gastrectomy (P<0.05). Binary logistic regression analysis showed that age and number of previous abdominal surgeries were independent risk factors associated with endoscope insertion failure. In conclusion, the present study demonstrated that the use of a pediatric colonoscope is efficacious and safe for patients with Roux‑en‑Y gastrectomy and an intact major duodenal papilla undergoing ERCP.
View Figures
View References

Related Articles

Journal Cover

October-2024
Volume 28 Issue 4

Print ISSN: 1792-0981
Online ISSN:1792-1015

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Wang F, Ge X, Deng X, Nie J, Wang Y, Li Q, Jiang G and Miao L: Endoscopic retrograde cholangiopancreatography using a pediatric colonoscope in patients with Roux‑en‑Y gastrectomy and an intact major duodenal papilla. Exp Ther Med 28: 390, 2024.
APA
Wang, F., Ge, X., Deng, X., Nie, J., Wang, Y., Li, Q. ... Miao, L. (2024). Endoscopic retrograde cholangiopancreatography using a pediatric colonoscope in patients with Roux‑en‑Y gastrectomy and an intact major duodenal papilla. Experimental and Therapeutic Medicine, 28, 390. https://doi.org/10.3892/etm.2024.12679
MLA
Wang, F., Ge, X., Deng, X., Nie, J., Wang, Y., Li, Q., Jiang, G., Miao, L."Endoscopic retrograde cholangiopancreatography using a pediatric colonoscope in patients with Roux‑en‑Y gastrectomy and an intact major duodenal papilla". Experimental and Therapeutic Medicine 28.4 (2024): 390.
Chicago
Wang, F., Ge, X., Deng, X., Nie, J., Wang, Y., Li, Q., Jiang, G., Miao, L."Endoscopic retrograde cholangiopancreatography using a pediatric colonoscope in patients with Roux‑en‑Y gastrectomy and an intact major duodenal papilla". Experimental and Therapeutic Medicine 28, no. 4 (2024): 390. https://doi.org/10.3892/etm.2024.12679