Logo do repositório
 
Publicação

Side-Viewing Duodenoscope versus Forward-Viewing Gastroscope for Endoscopic Retrograde Cholangiopancreatography in Billroth II Gastrectomy Patients

2023-08Artigo científico Acesso aberto
Ver registo simples
dc.contributor.authorMarques De Sá, Inês
dc.contributor.authorChaves, Carlos Borges
dc.contributor.authorCorreia De Sousa, João
dc.contributor.authorFernandes, João
dc.contributor.authorAraújo, Tarcísio
dc.contributor.authorCanena, Jorge
dc.contributor.authorCanena, Jorge
dc.contributor.authorLopes, Luís
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblKarger
dc.date.accessioned2022-06-17T22:22:42Z
dc.date.available2022-06-17T22:22:42Z
dc.date.issued2023-08
dc.descriptionPublisher Copyright: © 2022
dc.description.abstractIntroduction: Endoscopic retrograde cholangiopancreatography (ERCP) in patients with Billroth II gastrectomy is still a challenging procedure. The optimal approach, namely the type of endoscope and sphincter management, has yet to be defined. Aim: To compare the efficacy and safety of forward-viewing gastroscope and the side-viewing duodenoscope in ERCP of patients with Billroth II gastrectomy. Methods: We conducted a retrospective, single-center cohort study of consecutive patients with Billroth II gastrectomy submitted to ERCP in an expert center for ERCP between 2005 and 2021. The outcomes assessed were: papilla identification, deep biliary cannulation, and adverse events (AEs). Multivariate analysis was performed to evaluate potential associations and predictors of the main outcomes. Results: We included 83 patients with a median age of 73 (IQR 65-81) years. ERCP was performed using side-viewing duodenoscope in 52 and forward-viewing gastroscope in 31 patients. Patients' characteristics were similar in the two groups. The global rate of papilla identification was 66% (n = 55). The rate of deep cannulation was 58% considering all patients and 87% in the subgroup of patients in which the papilla major was identified. Cannulation was performed with standard methods in 65% of cases and with needle-knife fistulotomy in 35%. AEs occurred in 4 patients. There was no difference between duodenoscope and gastroscope in papilla identification (64% [95% CI: 51-77] vs. 71% [55-87]). Although not statistically significant, duodenoscope had a lower deep cannulation rate when considering all patients (52% [15-39] vs. 68% [7-35]) and a higher AEs rate (8% [1-15] vs. 0% [0-1]). In a multivariate analysis, the use of gastroscope significantly increased the deep cannulation rate (OR = 152.62 [2.5-9,283.6]). Conclusion: This study demonstrates that forward-viewing gastroscope is at least as effective and safe as side-viewing duodenoscope for ERCP in patients with Billroth II gastrectomy. Moreover, our study showed that gastroscope is an independent predictor of successful cannulation.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent329402
dc.identifier.doi10.1159/000524262
dc.identifier.issn2341-4545
dc.identifier.otherPURE: 44495364
dc.identifier.otherPURE UUID: ea0b2002-1cfd-4676-821b-e65520d3ed59
dc.identifier.otherScopus: 85130505024
dc.identifier.otherWOS: 000850828700001
dc.identifier.urihttp://hdl.handle.net/10362/140214
dc.identifier.urlhttps://www.scopus.com/pages/publications/85130505024
dc.language.isoeng
dc.peerreviewedyes
dc.subjectBillroth II operation
dc.subjectDuodenoscope
dc.subjectEndoscopic retrograde cholangiopancreatography
dc.subjectGastroscope
dc.subjectGastroenterology
dc.titleSide-Viewing Duodenoscope versus Forward-Viewing Gastroscope for Endoscopic Retrograde Cholangiopancreatography in Billroth II Gastrectomy Patientsen
dc.typejournal article
degois.publication.titleGE Portuguese Journal of Gastroenterology
dspace.entity.typePublication
person.familyNameCanena
person.givenNameJorge
person.identifier.orcid0000-0002-2539-5876
person.identifier.ridI-1379-2015
person.identifier.scopus-author-id6507619160
rcaap.rightsopenAccess
relation.isAuthorOfPublicationc8b48309-6089-430b-834c-46b5f79108bc
relation.isAuthorOfPublication.latestForDiscoveryc8b48309-6089-430b-834c-46b5f79108bc

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura
Nome:
524262.pdf
Tamanho:
321.68 KB
Formato:
Adobe Portable Document Format
Ver/Abrir

Coleções

NMS - Artigos em revista internacional com arbitragem científica