Treatment for biliary tract disease using double ballon endoscopy to the patients with reconstructed gastrointestinal anatomy

Abstract

Endoscopic access to the biliary system is challenging in patients with surgically altered anatomy, here we reported our experience of endoscopic billiary intervention using double balloon enteroscopy (DBE).
Three patients with Roux-en-Y reconstruction and 2 patients with Billroth-II gastrojejunostomy were treated for pancreatobilliary disorder. We successfully performed endoscopic retrograde cholangiopancreaticography (ERCP) in all cases, and therapeutic procedures using "Short" DBE (EC450-B15, Fujinon, Japan). DBE and ERCP were performed by specialists of each procedure.
No major complication occurred, including recurrent cholangitis during the observation period (average, 8 month).
Endoscopic intervention using DBE is very beneficial strategy in patients with reconstructed gastro-intestinal anatomy.