THERAPEUTIC ERCP USING A SHORT-TYPE DOUBLE-BALLOON ENDOSCOPE IN PATIENTS WITH ALTERED GASTROINTESTINAL ANATOMY

Abstract

Endoscopic approaches for pancreatobiliary diseases in patients with altered gastrointestinal anatomy using conventional endoscopes had been considered impractical due to the difficulty in performing deep insertions to a blind end which precluded other related interventions. Consequently, more invasive procedures such as percutaneous interventions and open surgery were selected as primary treatments for biliary disease in these patients. However, the development of balloon-assisted endoscopy has enabled endoscopic interventions in post-operative patients. This paper describes techniques of insertion to a blind end and ERCP-related interventions using short-type double-balloon endoscopy.