Marchesini João C D, Noda Rafael W, Haida Vitor M, Medeiros Rodrigo C D L, Sadowski Silvano, Galvão Neto Manoel, Marchesini João B, Campos Josemberg M
*Clínica Marchesini, Curitiba, PR †Federal University of Pernambuco, Recife ‡Gastro-Obeso-Center Advanced Surgical Institute, São Paulo, Brazil.
Surg Laparosc Endosc Percutan Tech. 2017 Jun;27(3):e28-e30. doi: 10.1097/SLE.0000000000000397.
This article aims to describe step-by-step technique performed with the aid of a video. We report the performance of an endoscopic approach to the biliary tract on 2 patients who had previously undergone duodenal switch (DS). It was successfully performed a laparoscopic-assisted transenteric endoscopic retrograde cholangiopancreatography (ERCP) in both the patients. Although successful experiences with ERCP after Roux-en-Y gastric bypass have been found, few cases of ERCP after DS have been reported. Nevertheless, this is the first study to include a multimedia video with description of details and all technical steps of the transenteric ERCP performed on 2 patients who had previously undergone DS. Transenteric access is a feasible technique for reaching the biliary tract through endoscopy after DS. This technique could avoid most invasive and risky procedures. However, it requires a high level of therapeutic endoscopic training.
本文旨在借助一段视频描述逐步操作技术。我们报告了对2例先前接受过十二指肠转位术（DS）的患者进行胆道内镜检查的情况。在这两名患者中均成功实施了腹腔镜辅助经肠内镜逆行胰胆管造影术（ERCP）。尽管已发现Roux-en-Y胃旁路术后ERCP的成功经验，但DS术后ERCP的病例报道较少。然而，这是第一项包含多媒体视频的研究，视频描述了对2例先前接受过DS的患者进行经肠ERCP的详细情况和所有技术步骤。经肠途径是DS术后通过内镜到达胆道的一种可行技术。该技术可避免大多数侵入性和高风险手术。然而，它需要高水平的治疗性内镜培训。
