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KMID : 0359020070350060445
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Korean Journal of Gastrointestinal Endoscopy
2007 Volume.35 No. 6 p.445 ~ p.450
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Case Series of ERCP and EST with Rotatable Papillotome (Autotome(R)) in Patients with Billoth 2 Gastrectomy
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Kim Yong-Hun
Kwon Chang-Il
Kim Dae-Young
Son Myung-Su
Ko Kwang-Hyun
Hong Sung-Pyo
Hwang Seong-Gyu
Park Pil-Won
Lim Kyo Sumg
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Abstract
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Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST) are the mainstays of
the diagnosis and treatment of variable hepatobiliary and pancreatic diseases. The success rate of ERCP and EST in patients who have undergone a Billroth II gastrectomy is lower than in patients with a normal anatomy. Because the view of the ampulla is rotated 180o in patients with Billroth II, several methods (ex, precut biliary needle-knife papillotome or wire-guided billroth II papillotome) have been used for endoscopic sphincterotomy instead of a pull-type papillotome. Using the recently devised pull-type and rotatable papillotome (Autotomeⓡ), we performed successful ERCP and EST in 2 patients with a Billroth II gastrectomy without complications.
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KEYWORD
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Gastrectomy, Gastroenterostomy, Endoscopic retrograde cholaniopancreatography, Endoscopic sphincterotomy, Papillotomy
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