Produção Nacional
Revisado por pares
Transenteric ERCP for Treatment of Choledocholithiasis After Duodenal Switch
2017; Lippincott Williams & Wilkins; Volume: 27; Issue: 3 Linguagem: Inglês
10.1097/sle.0000000000000397
ISSN1534-4908
AutoresJoão Caetano Marchesini, Rafael William Noda, Vítor Mamoru Haida, Rodrigo Conrado de Lorena Medeiros, Silvano Sadowski, Manoel Galvão Neto, João Batista Marchesini, Josemberg Marins Campos,
Tópico(s)Pediatric Hepatobiliary Diseases and Treatments
ResumoThis article aims to describe step-by-step technique performed with the aid of a video. We report the performance of an endoscopic approach to the biliary tract on 2 patients who had previously undergone duodenal switch (DS). It was successfully performed a laparoscopic-assisted transenteric endoscopic retrograde cholangiopancreatography (ERCP) in both the patients. Although successful experiences with ERCP after Roux-en-Y gastric bypass have been found, few cases of ERCP after DS have been reported. Nevertheless, this is the first study to include a multimedia video with description of details and all technical steps of the transenteric ERCP performed on 2 patients who had previously undergone DS. Transenteric access is a feasible technique for reaching the biliary tract through endoscopy after DS. This technique could avoid most invasive and risky procedures. However, it requires a high level of therapeutic endoscopic training.
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