Application and safety of endoscopic retrograde cholangiopancreatography after Billroth Ⅱgastrectomy

doi:10.3877/cma.j.issn.1674-0793.2020.02.010

Abstract

Abstract:

Objective

To explore the safety and success rate of endoscopic retrograde cholangiopancreatography (ERCP) in patients with choledocholithiasis after BillrothⅡ gastrectomy.

Methods

From January 2016 to January 2018, the clinical data of sixty patients who received ERCP after Billroth gastrectomy were analyzed retrospectively, and the success rates and complications related to ERCPwere summarized.

Results

The success rates of the operation, intubation, ERCP treatment were 85.54% (71/83), 90.14% (64/71), 68.33% (41/60), respectively, and failure rate was 31.67% (19/60). The success rate of ERCP for choledocholithiasis was 85.19% (23/27) and stone removal rate was 55.56% (15/27). The incidence of postoperative complications was 21.67% (13/60), including hyperamylasemia in nine cases (15.00%), acute pancreatitis in three cases (5.00%) and one case of severe pancreatitis was transferred to surgery, postoperative hemorrhage in one case (1.67%).

Conclusion

The success rate of ERCP after Billroth Ⅱ gastrectomy is high, and it is safe and effective in general.

Key words: Gastroenterostomy, Cholangiopancreatography, endoscopic retrograde, Choledo-cholithiasis

Xuejiao Liu, Hongbo Jia. Application and safety of endoscopic retrograde cholangiopancreatography after Billroth Ⅱgastrectomy[J]. Chinese Archives of General Surgery(Electronic Edition), 2020, 14(02): 118-120.

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