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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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