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PANCREATIC PSEUDOCYSTS IN POST‐GASTRECTOMY PATIENTS TREATED VIA THE DUODENAL MINOR PAPILLA WITH AN OBLIQUE‐VIEWING ENDOSCOPE
Authors:Toru Matsuhashi  Masataka Kikuyama  Yuzo Sasada  Yuji Ota  Jun Nakahodo
Affiliation:Hamamatsu Rosai Hospital, Hamamatsu, Japan
Abstract:Endoscopic retrograde cholangiopancreatography (ERCP) in patients after Billroth II or Roux‐en‐Y reconstruction is challenging because of difficulties in insertion of the endoscope into the afferent loop, which is a great distance away from the papilla of Vater, and cannulation into the desired duct from a reverse position. To facilitate ERCP, various endoscopes have been selected according to operator preference. Previously, we reported that an oblique‐viewing endoscope (XK‐200; Olympus, Tokyo, Japan) can contribute to successful performance of ERCP and associated procedures in Billroth II gastrectomy patients. We report here our experience with two post‐gastrectomy patients with chronic pancreatitis who were treated with an oblique‐viewing endoscope from the minor papilla.
Keywords:Billroth II reconstruction  duodenal minor papilla  endoscopic retrograde cholangiopancreatography (ERCP)  oblique‐viewing endoscope  pancreatic pseudocyst  Roux‐en‐Y reconstruction
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