Rotatable sphincterotome facilitates bile duct cannulation in patients with altered ampullary anatomy.
@article{MalufFilho2008RotatableSF,
title={Rotatable sphincterotome facilitates bile duct cannulation in patients with altered ampullary anatomy.},
author={Fauze Maluf-Filho and Atul Kumar and Thiago Ferreria de Souza and George A. Cortas and Bhawna Halwan and Jos{\'e} Humberto Giordano-Nappi and Paulo Sakai},
journal={Gastroenterology \& hepatology},
year={2008},
volume={4 1},
pages={
59-62
},
url={https://api.semanticscholar.org/CorpusID:21587041}
}It is believed that a rotatable sphincterotome can be successfully utilized to cannulate the common bile duct in patients with prior B-II anastomosis, thereby eliminating the need to maintain an inventory of specialized accessories.
5 Citations
Comparison between a rotatable sphincterotome and a conventional sphincterotome for selective bile duct cannulation
- 2019
Medicine
The type of sphincterotome used did not affect the success of SBC by trainees, however, orientation of the papilla was revealed to be a significant factor relating to cannulation difficulty for trainees overall.
Rotatable sphincterotome as a rescue device for endoscopic retrograde cholangiopancreatography cannulation: a single-center experience
- 2023
Medicine
The cannulation sphincterotome was useful for difficult cannulations in both unaltered and surgically altered anatomies and may be an option to consider before high-risk procedures such as precut and endoscopic ultrasound-guided rendezvous techniques.
Efficacy and safety of the rotatable sphincterotome during ERCP in patients with prior Billroth II gastrectomy (with videos)
- 2021
Medicine
Although RS has comparable success rates of SBC over PAF in patients with prior Billroth II gastrectomy, RS has facilitated the procedure by increasing the success rate of EST and SBC within 5 min, and the incidence of PEP was lowered as well.
9 References
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Medicine
It is concluded that patients with a Billroth-II operation may undergo endoscopic diagnostic as well as therapeutic procedures with a high rate of success, with similar results as in ordinary patients and with no greater risk of complications.
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Medicine
Hydrostatic dilation of the papilla provides a useful alternative to sphincterotomy in patients with a Billroth II gastrectomy who require endoscopic therapy, as well as in patients in need of emergency bile duct decompression who have impaired coagulation.
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Medicine
Endoscopic retrograde cholangiopancreatography procedures are more difficult in patients who have undergone partial gastrectomy with Billroth II anastomosis, and alternative diagnostic and therapeutic techniques should be used wherever possible in these patients.
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- 1994
Medicine
ERCP and endoscopic sphincterotomy in Billroth II subjects are today as safe and nearly as effective as in the non-gastrectomized patient.
A randomized trial of endoscopic balloon dilation and endoscopic sphincterotomy for removal of bile duct stones in patients with a prior Billroth II gastrectomy.
- 2001
Medicine
EBD in patients with bile duct stones and a previous Billroth II gastrectomy is easy to perform and is not associated with an increased need for mechanical lithotripsy or a longer procedure time, and the risk of bleeding is virtually absent after EBD and therisk of pancreatitis is not significantly increased in these patients.