Korean J Gastrointest Endosc.  2007 Dec;35(6):445-450.

Case Series of ERCP and EST with Rotatable Papillotome (Autotome(R)) in Patients with Billoth II Gastrectomy

• Kim YH
• Kwon CI
• Kim DY
• Son MS
• Ko KH
• Hong SP
• Hwang SG
• Park PW
• Rim KS

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST) are the mainstays of the diagnosis and treatment of variable hepatobiliary and pancreatic diseases. The success rate of ERCP and EST in patients who have undergone a Billroth II gastrectomy is lower than in patients with a normal anatomy. Because the view of the ampulla is rotated 180o in patients with Billroth II, several methods (ex, precut biliary needle-knife papillotome or wire-guided billroth II papillotome) have been used for endoscopic sphincterotomy instead of a pull-type papillotome. Using the recently devised pull-type and rotatable papillotome (Autotome(R)), we performed successful ERCP and EST in 2 patients with a Billroth II gastrectomy without complications.

Keyword

Gastrectomy; Gastroenterostomy; Endoscopic retrograde cholaniopancreatography; Endoscopic sphincterotomy; Papillotomy

MeSH Terms

Cholangiopancreatography, Endoscopic Retrograde*
Diagnosis
Gastrectomy*
Gastroenterostomy
Humans
Pancreatic Diseases
Sphincterotomy, Endoscopic