Publication details
Endoskopická diagnostika a terapie pankreatobiliárních onemocnění u osob po resekci žaludku podle Billrotha I
| Title in English | Endoscopic diagnostics and therapy of pancreatobiliary diseases in persons after gastric resection according to Billroth I. |
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| Authors | |
| Year of publication | 2020 |
| Type | Article in Periodical |
| Magazine / Source | Vnitřní lékařství |
| MU Faculty or unit | |
| Citation | |
| web | https://www.casopisvnitrnilekarstvi.cz/artkey/vnl-202006-0018_endoscopic-diagnostics-and-therapy-of-pancreatobiliary-diseases-in-persons-after-gastric-resection-according-to.php?back=%2Fsearch.php%3Fquery%3DEndoskopick%25E1%2Bdiagnostika%2Ba%2Bterapie%2B |
| Keywords | endoscopic diagnostics; endoscopic retrograde cholangiopancreatography; endoscopic treatment; stomach resection according to Billroth I. |
| Description | The stomach resection according to Billroth I (B I) is very rarely done. The aim of this retrospective study is to evaluate our experience with diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in patients after stomach resection according to Billroth I. In patients with a condition after stomach resection according to B I, a study of the group of 20 years (November 1994 – December 2014) took place. Three patients were evaluated retrospectively after B I stomach resection with biliary obstruction. For the ERCP was used the Olympus therapeutic videotheroscop in all cases with the standard (as in normal anatomical situation). Cannulation success in diagnostic ERCP was achieved in 3 out of 3 patients – 100% success rate of ERC diagnosis. For all these 3 patients CDL was found in the ERCP. In addition, endoscopic treatment was performed immediately after ERCP diagnosis in all 3 patients with a CDL pathologic ERCP diagnosis, the initial endoscopic papillotomy (EPT) performed in the standard procedure (as in normal anatomy). Subsequently, endoscopic extraction of all CDL from hepatocholedocus to duodenum was performed. Overall the ERCP was completely successful in all 3 of the 3 (100% of 3) patients who initially started endoscopic therapy. There were no complications in our group of 3 patients. For ERCP in patients with |