Comparison between Enteroscopy-Based and Laparoscopy-Assisted ERCP for Accessing the Biliary Tree in Patients with Roux-en-Y Gastric Bypass: Systematic Review and Meta-analysis

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Arquivos
art_PONTE-NETO_Comparison_between_EnteroscopyBased_and_LaparoscopyAssisted_ERCP_for_Accessing_2018.PDF (1.03 MB)
Citações na Scopus
24
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
Citação
OBESITY SURGERY, v.28, n.12, p.4064-4076, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Although balloon-assisted enteroscopy-endoscopic retrograde cholangiopancreatography (BAE-ERCP) is a well-described means of accessing the duodenal papilla in patients with Roux-en-Y gastric bypass (RYGB), it is associated with modest clinical success rates. Laparoscopy-assisted ERCP (LA-ERCP)performed by advancing a standard duodenoscope through a gastrostomy into the excluded stomach and duodenumhas emerged as a viable alternative to BAE-ERCP, with apparently higher success rates. In this systematic review, we compare LA-ERCP with enteroscopy-based techniques in post-RYGB patients, including 22 case series that provided data on papilla identification, papilla cannulation, and complications. We found that LA-ERCP was superior to the enteroscopy-based techniques in its capacity to reach the duodenal papilla, although complication rates were lower for the latter. Comparative studies are needed in order to corroborate our findings.
Palavras-chave
Balloon-assisted enteroscopy-endoscopic retrograde cholangiopancreatography (BAE-ERCP), Endoscopic retrograde cholangiopancreatography, Roux-en-Y gastric bypass, Laparoscopy-assisted ERCP (LA-ERCP)
URI
https://observatorio.fm.usp.br/handle/OPI/29929
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MGT
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/35