Comparison of two fluoroscopic images to ensure efficient scope insertion for biliary intervention in patients with Roux-en-Y hepaticojejunostomy

Koichiro Tsutsumi, Hironari Kato, Ken Hirao, Sho Mizukawa, Shinichiro Muro, Yutaka Akimoto, Daisuke Uchida, Kazuyuki Matsumoto, Takeshi Tomoda, Shigeru Horiguchi, Shuntaro Yabe, Hiroyuki Seki, Yasuhiro Noma, Naoki Yamamoto, Ryo Harada, Tsuneyoshi Ogawa, Hiroyuki Okada

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background and study aims No standard procedure for endoscopic retrograde cholangiopancreatography is available for patients with Roux-en-Y hepaticojejunostomy (RYHJ) with side-to-end hepaticojejunostomy. We therefore explored methods of efficient scope insertion at a hepaticojejunostomy site. Patients and methods Patients with suspected biliary disease were prospectively enrolled. Based on two fluoroscopic images obtained on scope insertion into each lumen of a two-pronged Roux-en-Y anastomosis, we selected the lumen in which the distal end of the scope progressed toward the patient’s liver or head. The accuracy of this method for selecting the correct lumen leading to the hepaticojejunostomy site was investigated. Results Of the 33 included patients, successful insertion to the hepaticojejunostomy site was achieved in 32 (97?%), 26 (81?%) of whom had undergone the imaging method. The accuracy of the method was 88?% (23/26). The time required for insertion between the anastomotic site and the hepaticojejunostomy site was shorter when the lumen selection had been correct (13 minutes [7?–?30] (n?=?23) vs. 18 minutes [8?–?28] (n?=?9); P =?0.95). Conclusion This method based on two fluoroscopic images was useful for achieving efficient scope insertion in patients with RYHJ. Trial registered at University Hospital Medical Information Network Clinical Trials Registry (UMIN000014183).

Original languageEnglish
JournalEndoscopy
DOIs
Publication statusAccepted/In press - Jun 30 2017

Fingerprint

Roux-en-Y Anastomosis
Information Services
Endoscopic Retrograde Cholangiopancreatography
Registries
Head
Clinical Trials
Liver

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Comparison of two fluoroscopic images to ensure efficient scope insertion for biliary intervention in patients with Roux-en-Y hepaticojejunostomy. / Tsutsumi, Koichiro; Kato, Hironari; Hirao, Ken; Mizukawa, Sho; Muro, Shinichiro; Akimoto, Yutaka; Uchida, Daisuke; Matsumoto, Kazuyuki; Tomoda, Takeshi; Horiguchi, Shigeru; Yabe, Shuntaro; Seki, Hiroyuki; Noma, Yasuhiro; Yamamoto, Naoki; Harada, Ryo; Ogawa, Tsuneyoshi; Okada, Hiroyuki.

In: Endoscopy, 30.06.2017.

Research output: Contribution to journalArticle

@article{a673e8e83f7c42a2a4f1022bcb54bef2,
title = "Comparison of two fluoroscopic images to ensure efficient scope insertion for biliary intervention in patients with Roux-en-Y hepaticojejunostomy",
abstract = "Background and study aims No standard procedure for endoscopic retrograde cholangiopancreatography is available for patients with Roux-en-Y hepaticojejunostomy (RYHJ) with side-to-end hepaticojejunostomy. We therefore explored methods of efficient scope insertion at a hepaticojejunostomy site. Patients and methods Patients with suspected biliary disease were prospectively enrolled. Based on two fluoroscopic images obtained on scope insertion into each lumen of a two-pronged Roux-en-Y anastomosis, we selected the lumen in which the distal end of the scope progressed toward the patient’s liver or head. The accuracy of this method for selecting the correct lumen leading to the hepaticojejunostomy site was investigated. Results Of the 33 included patients, successful insertion to the hepaticojejunostomy site was achieved in 32 (97?{\%}), 26 (81?{\%}) of whom had undergone the imaging method. The accuracy of the method was 88?{\%} (23/26). The time required for insertion between the anastomotic site and the hepaticojejunostomy site was shorter when the lumen selection had been correct (13 minutes [7?–?30] (n?=?23) vs. 18 minutes [8?–?28] (n?=?9); P =?0.95). Conclusion This method based on two fluoroscopic images was useful for achieving efficient scope insertion in patients with RYHJ. Trial registered at University Hospital Medical Information Network Clinical Trials Registry (UMIN000014183).",
author = "Koichiro Tsutsumi and Hironari Kato and Ken Hirao and Sho Mizukawa and Shinichiro Muro and Yutaka Akimoto and Daisuke Uchida and Kazuyuki Matsumoto and Takeshi Tomoda and Shigeru Horiguchi and Shuntaro Yabe and Hiroyuki Seki and Yasuhiro Noma and Naoki Yamamoto and Ryo Harada and Tsuneyoshi Ogawa and Hiroyuki Okada",
year = "2017",
month = "6",
day = "30",
doi = "10.1055/s-0043-117406",
language = "English",
journal = "Endoscopy",
issn = "0013-726X",
publisher = "Georg Thieme Verlag",

}

TY - JOUR

T1 - Comparison of two fluoroscopic images to ensure efficient scope insertion for biliary intervention in patients with Roux-en-Y hepaticojejunostomy

AU - Tsutsumi, Koichiro

AU - Kato, Hironari

AU - Hirao, Ken

AU - Mizukawa, Sho

AU - Muro, Shinichiro

AU - Akimoto, Yutaka

AU - Uchida, Daisuke

AU - Matsumoto, Kazuyuki

AU - Tomoda, Takeshi

AU - Horiguchi, Shigeru

AU - Yabe, Shuntaro

AU - Seki, Hiroyuki

AU - Noma, Yasuhiro

AU - Yamamoto, Naoki

AU - Harada, Ryo

AU - Ogawa, Tsuneyoshi

AU - Okada, Hiroyuki

PY - 2017/6/30

Y1 - 2017/6/30

N2 - Background and study aims No standard procedure for endoscopic retrograde cholangiopancreatography is available for patients with Roux-en-Y hepaticojejunostomy (RYHJ) with side-to-end hepaticojejunostomy. We therefore explored methods of efficient scope insertion at a hepaticojejunostomy site. Patients and methods Patients with suspected biliary disease were prospectively enrolled. Based on two fluoroscopic images obtained on scope insertion into each lumen of a two-pronged Roux-en-Y anastomosis, we selected the lumen in which the distal end of the scope progressed toward the patient’s liver or head. The accuracy of this method for selecting the correct lumen leading to the hepaticojejunostomy site was investigated. Results Of the 33 included patients, successful insertion to the hepaticojejunostomy site was achieved in 32 (97?%), 26 (81?%) of whom had undergone the imaging method. The accuracy of the method was 88?% (23/26). The time required for insertion between the anastomotic site and the hepaticojejunostomy site was shorter when the lumen selection had been correct (13 minutes [7?–?30] (n?=?23) vs. 18 minutes [8?–?28] (n?=?9); P =?0.95). Conclusion This method based on two fluoroscopic images was useful for achieving efficient scope insertion in patients with RYHJ. Trial registered at University Hospital Medical Information Network Clinical Trials Registry (UMIN000014183).

AB - Background and study aims No standard procedure for endoscopic retrograde cholangiopancreatography is available for patients with Roux-en-Y hepaticojejunostomy (RYHJ) with side-to-end hepaticojejunostomy. We therefore explored methods of efficient scope insertion at a hepaticojejunostomy site. Patients and methods Patients with suspected biliary disease were prospectively enrolled. Based on two fluoroscopic images obtained on scope insertion into each lumen of a two-pronged Roux-en-Y anastomosis, we selected the lumen in which the distal end of the scope progressed toward the patient’s liver or head. The accuracy of this method for selecting the correct lumen leading to the hepaticojejunostomy site was investigated. Results Of the 33 included patients, successful insertion to the hepaticojejunostomy site was achieved in 32 (97?%), 26 (81?%) of whom had undergone the imaging method. The accuracy of the method was 88?% (23/26). The time required for insertion between the anastomotic site and the hepaticojejunostomy site was shorter when the lumen selection had been correct (13 minutes [7?–?30] (n?=?23) vs. 18 minutes [8?–?28] (n?=?9); P =?0.95). Conclusion This method based on two fluoroscopic images was useful for achieving efficient scope insertion in patients with RYHJ. Trial registered at University Hospital Medical Information Network Clinical Trials Registry (UMIN000014183).

UR - http://www.scopus.com/inward/record.url?scp=85029747232&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85029747232&partnerID=8YFLogxK

U2 - 10.1055/s-0043-117406

DO - 10.1055/s-0043-117406

M3 - Article

C2 - 28898919

AN - SCOPUS:85029747232

JO - Endoscopy

JF - Endoscopy

SN - 0013-726X

ER -