Cheng-Rong Pu, Lu Yang#, Guang-Quan Zhang, Xian-Lin Wu, Zhong Liao, Liu Zheng, Liang Xie, MB Bo Yao
Department of General Surgery, The Sixth People’s Hospital of Chengdu, Chengdu, Sichuan 610051, China
Introduction: The present study aims to explore the diagnosis and treatment of biliary calculi after side-view duodenoscopic Billroth-II gastrectomy. Endoscopic retrograde cholangiopancreatography (ERCP) is efficacious in patients who have undergone BillrothⅡgastroenterostomies. ERCP was performed in 206 patients after Billroth-II gastrectomy.
Methods: Among these patients, 56 patients underwent endoscopic sphincterotomy (EST), while six patients underwent endoscopic papillary balloon dilatation (EPBD) for stone removal.
Results: Among these 206 patients, ERCP has been successful in 158 patients (79.7%), but failed in 48 patients (23.3%). In the 56 patients who underwent EST and six patients who underwent EPBD for stone removal, the operation succeeded in 48 patients (85.7%), but six patients were complicated with massive hemorrhage of the digestive tract. No digestive tract perforation or death occurred in any patient.
Conclusion: The success rate of ERCP in the treatment of biliary calculi after Billroth-II gastrectomy is relatively high. This method is not only effective but also has clinical practical value.
Bile duct lithiasis, billroth-Ⅱ gastroenterostomy, ERCP, treatment.