Endoscopic retrograde cholangiography in patients with hepatic-jejunostomy by double balloon enteroscopy

摘要

Introduction: endoscopic access to the bile duct in patients with hepatic-jejunostomy is a complex act upon by the anatomical limitations imposed by this surgery. The double-balloon endoscope approach achieves this area, with diagnostic and therapeutic possibilities. Objective: to describe the results of endoscopic approach in patients with biliary-digestive surgery. Methods: we present a report of 6 cases of biliary-digestive bypass clinical elements, humoral and ultrasound of biliary obstruction. Exploration was performed according to the technique of double balloon enteroscopy to address the referral site and therapeutic applications. Results: in all cases, gains access to the hepatic-jejunostomy and dilation make Soehendra, one of them also with balloon tires. 2 stones were extracted in 5 patients and plastic prosthesis was placed 7 Fr No complications. Conclusions: the double-balloon endoscopy was a useful and safe procedure for access to the bile duct in patients with hepatic-jejunostomy.