| Title |
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Altered anatomy : enteroscopy and ERCP procedure
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| Author |
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| Abstract |
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| Roux-en-Y entero-enteric anastomosis of the small bowel is a commonly used surgical technique. However, it excludes the afferent limb and the biliopancreatic system from conventional endoscopic access. Recent data have shown that device-assisted enteroscopy (DAE) allows endoscopic retrograde cholangiopancreatography (ERCP) in these patients with high success rates. Both Double-balloon, short Double-balloon, Single-balloon and Spiral enteroscopy can be used for DAE-ERCP with comparable success. This review highlights the currently available literature data on DAE-ERCP in patients with Roux-en-Y anastomosis, and discusses the clinical aspects and technical difficulties. Although DAE does increase ERCP efficacy in patients with Roux-en-Y anastomosis, it remains a challenging procedure which is open to further improvement. (C) 2012 Elsevier Ltd. All rights reserved. |
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| Language |
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English
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| Source (journal) |
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Best practice & research clinical gastroenterology |
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| Publication |
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2012
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| Volume/pages |
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26:3(2012), p. 347-357
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| ISI |
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000306382800013
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| Full text (Publisher's DOI) |
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| Full text (publisher's version - intranet only) |
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