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Endoscopic retrograde cholangiopancreatography and sphincterotomy after billroth ii gastrectomy



Endoscopic retrograde cholangiopancreatography and sphincterotomy after billroth ii gastrectomy



Gut 25(9): 971-974



Endoscopic retrograde cholangiopancreatography (ERCP) procedures are more difficult in patients who have undergone partial gastrectomy with Billroth II anastomosis. Results improve with experience; full diagnostic information was achieved in only 52% of 63 attempts, but ultimately in 60% of the 53 patients concerned. Therapeutic endeavours were more successful with useful results in 8 of 10 patients during the last 2 yr. Alternative diagnostic and therapeutic techniques should be used wherever possible in these patients.

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Accession: 005359540

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