Cedrón-Cheng Hugo, Chirinos Vega Juan
Clínica Anglo Americana, San Isidro. Lima, Perú.
Rev Gastroenterol Peru. 2020 Apr-Jun;40(2):136-141.
To evaluate the usefulness of retrograde cholangiography performed with simple balloon-assisted enteroscopy for the management of bile duct pathology in patients with altered anatomy by surgery at the Anglo American Clinic.
This is a retrospective descriptive study where all patients with altered anatomy who came for bile duct problems to undergo a retrograde cholangiography assisted by simple balloon enteroscopy at the Anglo American Clinic during the January period from 2014 to January 2020.
We performed 10 studies of retrograde cholangiography assisted by simple balloon enteroscopy. Cannulation of the bile duct was successful in 80% of our cases, in two cases the bile duct could not be located. The findings of the retrograde cholangiography were biliary stones in 7 cases, stenosis of the biliodigestive anastomosis in 5 cases, and an ampuloma. The most frequent therapeutic procedures were CRE progressive balloon dilation of the bilioenteric anastomosis and extraction of stones with a Dormia basket. There were no complications associated with the procedure.
Retrograde cholangiography assisted by simple balloon enteroscopy is a safe and effective method to resolve biliary pathology in our patients with altered anatomy.
评估在英美诊所，采用简易球囊辅助小肠镜逆行胆管造影术对手术解剖结构改变患者胆管病变的治疗效果。
这是一项回顾性描述性研究，纳入了2014年1月至2020年1月期间在英美诊所因胆管问题前来接受简易球囊小肠镜辅助逆行胆管造影术的所有解剖结构改变患者。
我们进行了10例简易球囊小肠镜辅助逆行胆管造影术研究。80%的病例胆管插管成功，2例未能找到胆管。逆行胆管造影的结果为7例胆石症、5例胆肠吻合口狭窄和1例壶腹瘤。最常见的治疗方法是使用可控径向扩张（CRE）球囊对胆肠吻合口进行渐进性扩张，以及用多尔米亚网篮取石。该手术无相关并发症。
简易球囊小肠镜辅助逆行胆管造影术是解决解剖结构改变患者胆管病变的一种安全有效的方法。
