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KMID : 0880520100460010062
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Chonnam Medical Journal
2010 Volume.46 No. 1 p.62 ~ p.66
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Endoscopic Large-Diameter Balloon Dilation after Fistulotomy for the Removal of Bile Duct Stones in a Patient with Billroth II Gastrectomy
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Ki ho-seok
Park Sun-Young
Yoon Kyung-Won
Kim Min-Hyung
Choi Sung-Kyu
Rew Jong-Sun
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Abstract
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Endoscopic retrograde cholangiopancreatography (ERCP) is difficult to perform in patients with a Billroth II gastrectomy because of anatomical changes. The success rate of ERCP and endoscopic sphincterotomy in patients with a Billroth II gastrectomy is lower than that in patients with normal anatomy. In our case, a 76-year-old man with altered anatomy after a Billroth II gastrectomy underwent cap-assisted forward-viewing endoscopic cholangiopancreatography because of bile duct stones. We successfully performed a fistulotomy followed by large-diameter balloon dilation of the fistulotomy tract for the management of choledocholithiasis in this patient with a history of a Billroth II gastrectomy.
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KEYWORD
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Gastroenterostomy, Cholangiopancreatography, Endoscopic retrograde, Choledocholithiasis
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