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Dig Dis. 2008;26(4):330-5. doi: 10.1159/000177018. Epub 2009 Jan 30.

ERCP using double-balloon enteroscopy in patients with Roux-en-Y anatomy.

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Gastrointestinal Endoscopy Unit, Department of Gastroenterology, University of São Paulo School of Medicine and Hospital Alemao Oswaldo Cruz, São Paulo, Brazil.


Double-balloon enteroscopy (DBE) is a useful method for endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y anatomy. Depending on the distorted anatomy, endoscopic therapies with conventional scopes were very difficult or impossible before the advent of DBE and patients had to be submitted to a percutaneous or surgical approach. The case of 6 patients with different types of Roux-en-Y-altered anatomy in which DBE-ERCP was performed with 83.3% successful rate (5/6) is reported confirming recent data in the literature on the feasibility of this method.

[Indexed for MEDLINE]

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