Specifics of endoscopic retrograde cholangiopancreatographyin patients with altered anatomy of gastrointestinal tract (a literature review)

The aim of the work: analysis and integration of literature data regarding the technical and methodological implementation of endoscopic retrograde cholangiopancreatography in altered anatomy of the gastrointestinal tract after gastric resection. Results. World literature data convincingly indica...

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Autores principales:	A. V. Klymenko, A. O. Steshenko, V. S. Tkachov, M. M. Sofilkanych
Formato:	article
Lenguaje:	EN RU UK
Publicado:	Zaporozhye State Medical University 2021
Materias:	endoscopic retrograde cholangio pancreato graphy surgically altered anatomy endoscopic ultrasonography billroth roux-en-y Medicine R
Acceso en línea:	https://doaj.org/article/f2ca975bd96a44809cd864265f717e33
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spelling	oai:doaj.org-article:f2ca975bd96a44809cd864265f717e332021-11-11T06:57:52ZSpecifics of endoscopic retrograde cholangiopancreatographyin patients with altered anatomy of gastrointestinal tract (a literature review)10.14739/2310-1210.2021.6.2329882306-41452310-1210https://doaj.org/article/f2ca975bd96a44809cd864265f717e332021-11-01T00:00:00Zhttp://zmj.zsmu.edu.ua/article/view/232988/241671https://doaj.org/toc/2306-4145https://doaj.org/toc/2310-1210The aim of the work: analysis and integration of literature data regarding the technical and methodological implementation of endoscopic retrograde cholangiopancreatography in altered anatomy of the gastrointestinal tract after gastric resection. Results. World literature data convincingly indicate the need for a staged approach to performing endoscopic retrograde cho langiopancreatography in patients with altered anatomy of the gastrointestinal tract. Scientific works state that the main stages are detailed examination of a past surgical history in patients, careful selection of suitable endoscopic instruments, afferent limb intubation, papilla of Vater cannulation and papillary interventions. The article describes the existing endoscopic instruments, modern techniques and approaches, their advantages and disadvantages, and the influence of various factors on the success of their use in comparison with traditional techniques for various types of surgical reconstruction for each of the above stages. The length of the afferent limb is one of the main factors that affect the success rates of the procedure. Conclusions. Endoscopic retrograde cholangiopancreatography in patients with altered anatomy is complex and faces a number of challenges. Thanks to the development of special instruments and techniques, it can be performed even in patients with a long Roux-en-Y limb, reaching therapeutic success rates close to those in patients with normal anatomy, but this requires extensive experience of an endoscopist. There are currently no clear recommendations for the use of a particular technique; therefore the choice of the optimal strategy depends on the type of surgical reconstruction, surgeon skill level and endoscopy center facilities. A. V. KlymenkoA. O. SteshenkoV. S. TkachovM. M. SofilkanychZaporozhye State Medical Universityarticleendoscopic retrograde cholangio pancreato graphysurgically altered anatomyendoscopic ultrasonographybillrothroux-en-yMedicineRENRUUKZaporožskij Medicinskij Žurnal, Vol 23, Iss 6, Pp 872-881 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU UK
topic	endoscopic retrograde cholangio pancreato graphy surgically altered anatomy endoscopic ultrasonography billroth roux-en-y Medicine R
spellingShingle	endoscopic retrograde cholangio pancreato graphy surgically altered anatomy endoscopic ultrasonography billroth roux-en-y Medicine R A. V. Klymenko A. O. Steshenko V. S. Tkachov M. M. Sofilkanych Specifics of endoscopic retrograde cholangiopancreatographyin patients with altered anatomy of gastrointestinal tract (a literature review)
description	The aim of the work: analysis and integration of literature data regarding the technical and methodological implementation of endoscopic retrograde cholangiopancreatography in altered anatomy of the gastrointestinal tract after gastric resection. Results. World literature data convincingly indicate the need for a staged approach to performing endoscopic retrograde cho langiopancreatography in patients with altered anatomy of the gastrointestinal tract. Scientific works state that the main stages are detailed examination of a past surgical history in patients, careful selection of suitable endoscopic instruments, afferent limb intubation, papilla of Vater cannulation and papillary interventions. The article describes the existing endoscopic instruments, modern techniques and approaches, their advantages and disadvantages, and the influence of various factors on the success of their use in comparison with traditional techniques for various types of surgical reconstruction for each of the above stages. The length of the afferent limb is one of the main factors that affect the success rates of the procedure. Conclusions. Endoscopic retrograde cholangiopancreatography in patients with altered anatomy is complex and faces a number of challenges. Thanks to the development of special instruments and techniques, it can be performed even in patients with a long Roux-en-Y limb, reaching therapeutic success rates close to those in patients with normal anatomy, but this requires extensive experience of an endoscopist. There are currently no clear recommendations for the use of a particular technique; therefore the choice of the optimal strategy depends on the type of surgical reconstruction, surgeon skill level and endoscopy center facilities.
format	article
author	A. V. Klymenko A. O. Steshenko V. S. Tkachov M. M. Sofilkanych
author_facet	A. V. Klymenko A. O. Steshenko V. S. Tkachov M. M. Sofilkanych
author_sort	A. V. Klymenko
title	Specifics of endoscopic retrograde cholangiopancreatographyin patients with altered anatomy of gastrointestinal tract (a literature review)
title_short	Specifics of endoscopic retrograde cholangiopancreatographyin patients with altered anatomy of gastrointestinal tract (a literature review)
title_full	Specifics of endoscopic retrograde cholangiopancreatographyin patients with altered anatomy of gastrointestinal tract (a literature review)
title_fullStr	Specifics of endoscopic retrograde cholangiopancreatographyin patients with altered anatomy of gastrointestinal tract (a literature review)
title_full_unstemmed	Specifics of endoscopic retrograde cholangiopancreatographyin patients with altered anatomy of gastrointestinal tract (a literature review)
title_sort	specifics of endoscopic retrograde cholangiopancreatographyin patients with altered anatomy of gastrointestinal tract (a literature review)
publisher	Zaporozhye State Medical University
publishDate	2021
url	https://doaj.org/article/f2ca975bd96a44809cd864265f717e33
work_keys_str_mv	AT avklymenko specificsofendoscopicretrogradecholangiopancreatographyinpatientswithalteredanatomyofgastrointestinaltractaliteraturereview AT aosteshenko specificsofendoscopicretrogradecholangiopancreatographyinpatientswithalteredanatomyofgastrointestinaltractaliteraturereview AT vstkachov specificsofendoscopicretrogradecholangiopancreatographyinpatientswithalteredanatomyofgastrointestinaltractaliteraturereview AT mmsofilkanych specificsofendoscopicretrogradecholangiopancreatographyinpatientswithalteredanatomyofgastrointestinaltractaliteraturereview
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Specifics of endoscopic retrograde cholangiopancreatographyin patients with altered anatomy of gastrointestinal tract (a literature review)

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