Tips and tricks of double‐balloon endoscopic retrograde cholangiopancreatography (with video) |
| |
| Authors: | Hisashi Hatanaka Tomonori Yano Kiichi Tamada |
| |
| Affiliation: | Department of Gastroenterology, Jichi Medical University, Shimotsuke, Tochigi, Japan |
| |
| Abstract: | ![]()
Although endoscopic retrograde cholangiopancreatography (ERCP) is technically difficult in patients with altered gastrointestinal tract, double‐balloon endoscopy (DBE) allows endoscopic access to pancreato‐biliary system in such patients. Balloon dilation of biliary stricture and extraction of bile duct stones, placement of biliary stent in patients with Roux‐en‐Y or Billroth‐II reconstruction, using DBE have been reported. However, two major technical parts are required for double‐balloon ERCP (DB‐ERCP). One is insertion of DBE and the other is an ERCP‐related procedure. The important point of DBE insertion is a sure approach to the afferent limb with Roux‐en‐Y reconstruction or Braun anastomosis. Short type DBE with working length 152 cm is beneficial for DB‐ERCP because it is short enough for most biliary accessory devices. In this paper, we introduce our tips and tricks for successful DB‐ERCP. |
| |
| Keywords: | Double‐balloon endoscopy Double‐balloon ERCP Endoscopic retrograde cholangiopancreatography · Roux‐en‐Y reconstruction |
|
|
