University Medical Center Groningen, PO. Box 30001, 9700 BB Groningen, The Netherlands.
J Gastrointestin Liver Dis. 2009 Sep;18(3):375-7.
The use of the double balloon endoscope for ERCP in patients with surgically altered anatomy has shown to be safe and feasible. This technique permits a variety of diagnostic and therapeutic possibilities. A case is presented of a 38-year old male, admitted with jaundice, 8 months after surgery for a malignant liver tumour with construction of a Roux-en-Y hepaticojejunostomy. A stenosis at the site of the biliodigestive anastomosis was diagnosed. Combining double balloon endoscopy with a percutaneous approach in a rendezvous procedure, it was possible to place a self-expandable biliary metal stent. This is the first report of a successful placement of a metallic stent using this technique.
使用双气囊内镜进行 ERCP 已被证明在解剖结构改变的患者中是安全且可行的。该技术可提供多种诊断和治疗选择。本文报道了 1 例 38 岁男性，因恶性肝肿瘤行手术治疗 8 个月后出现黄疸，手术方式为 Roux-en-Y 胆肠吻合术。诊断为胆肠吻合口部位狭窄。通过经皮入路和会师技术，结合双气囊内镜，成功放置了自膨式胆道金属支架。这是首例成功使用该技术放置金属支架的报道。
