Korean Journal of Gastrointestinal Endoscopy 2007;35(6): 445-450.
Billroth II 위절제술을 시행한 환자들에서 회전 절개도(Rotatable papillotome, AutotomeⓇ)를 이용한 내시경 역행성 담췌관조영술 및 내시경 유두괄약근 절개술 2예
김용훈ㆍ권창일ㆍ김대영ㆍ손명수ㆍ고광현ㆍ홍성표ㆍ황성규ㆍ박필원ㆍ임규성
포천중문의과대학교 내과학교실
Case Series of ERCP and EST with Rotatable Papillotome (AutotomeⓇ) in Patients with Billoth II Gastrectomy
Yong Hun Kim, M.D., Chang-Il Kwon, M.D., Dae Young Kim, M.D., Myung Su Son, M.D., Kwang Hyun Ko, M.D., Sung Pyo Hong, M.D., Seong Gyu Hwang, M.D., Pil Won Park, M.D. and Kyu Sung Rim, M.D.
Department of Internal Medicine, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Seongnam, Korea
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST) are the mainstays of the diagnosis and treatment of variable hepatobiliary and pancreatic diseases. The success rate of ERCP and EST in patients who have undergone a Billroth II gastrectomy is lower than in patients with a normal anatomy. Because the view of the ampulla is rotated 180o in patients with Billroth II, several methods (ex, precut biliary needle-knife papillotome or wire-guided billroth II papillotome) have been used for endoscopic sphincterotomy instead of a pull-type papillotome. Using the recently devised pull-type and rotatable papillotome (AutotomeⰒ), we performed successful ERCP and EST in 2 patients with a Billroth II gastrectomy without complications. (Korean J Gastrointest Endosc 2007;35:445-450)
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