Abstract
After the development of double-balloon endoscope, ERCP for the patients with histories of Roux-en-Y reconstruction has become widely spreading. We reported three successful cases of biliary tract disease with Roux-en-Y reconstruction treated by ERCP using PCF-PQ260L. Case 1 was a 69-year-old female with a history of stomach-preserving Roux-en-Y reconstruction was admitted for cholangitis due to malignant biliary obstruction. She had been performed ERCP using PCF-PQ260L with overtube for double-balloon endoscope. After reaching at the hepaticojejunostomic site, we succeeded in self-expandable metallic stenting in left hepatic duct. Case 2 and 3 were males with a history of total gastrectomy with Roux-en-Y reconstruction were admitted for cholangitis. ERCP using PCF-PQ260L had been performed in both cases. After reaching at the duodenal papilla, we performed endoscopic papillary large balloon dilation in addition to EST in case 3. Thus, we succeeded in removing bile duct stone in both cases. For the patients with biliary tract disease with Roux-en-Y reconstruction, ERCP PCF-PQ260L may be a new option of endoscope.
