We have located links that may give you full text access.
JOURNAL ARTICLE
RESEARCH SUPPORT, NON-U.S. GOV'T
Double balloon endoscopy for pancreatic and biliary access in altered anatomy (with videos).
Gastrointestinal Endoscopy 2007 September
BACKGROUND: Access to the papilla of Vater or enteral anastomoses to the biliary tract or pancreatic duct is difficult in patients with altered anatomy. The usual approach to the papilla of Vater with a side-viewing duodenoscope, designed for passage through the stomach, pyloric channel, and proximal duodenum, is not suitable in postoperative patients with challenging anatomic rearrangements. There is therefore a need for better instrumentation to achieve access in patients with difficult anatomy.
OBJECTIVE: To assess the potential of the new double balloon endoscope system for use in difficult postsurgical anatomic configurations. This system has now been utilized in several of these types of anatomic rearrangements with successful access to the papilla of Vater and hepatico-jejunal, choledocho-jejunal, or pancreatico-jejunal anastomoses. The technique of advancing the system and achieving cannulation is described. The accessories necessary and therapeutic potential are addressed.
INTERVENTIONS: Diagnostic and therapeutic management of pancreatic and biliary disorders in altered anatomy.
CONCLUSION: Double balloon enteroscopy has provided a means to access the stomach, duodenum, biliary tract, and pancreatic duct after surgical procedures that have made access by the usual routes with the usual instruments not possible.
OBJECTIVE: To assess the potential of the new double balloon endoscope system for use in difficult postsurgical anatomic configurations. This system has now been utilized in several of these types of anatomic rearrangements with successful access to the papilla of Vater and hepatico-jejunal, choledocho-jejunal, or pancreatico-jejunal anastomoses. The technique of advancing the system and achieving cannulation is described. The accessories necessary and therapeutic potential are addressed.
INTERVENTIONS: Diagnostic and therapeutic management of pancreatic and biliary disorders in altered anatomy.
CONCLUSION: Double balloon enteroscopy has provided a means to access the stomach, duodenum, biliary tract, and pancreatic duct after surgical procedures that have made access by the usual routes with the usual instruments not possible.
Full text links
Related Resources
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app