Experience of the endoscopists matters in endoscopic retrograde cholangiopancreatography in billroth II gastrectomy patients

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dc.contributor.authorÇağlar, Erkan
dc.contributor.authorAtasoy, Deniz
dc.contributor.authorTozlu, Mukaddes
dc.contributor.authorAltınkaya, Engin
dc.contributor.authorDoğan, Serkan
dc.contributor.authorŞentürk, Hakan
dc.date.accessioned2020-08-30T20:06:22Z
dc.date.available2020-08-30T20:06:22Z
dc.date.issued2020
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground/Aims: Altered anatomy is a challenge in endoscopic retrograde cholangiopancreatography (ERCP) for patients with Billroth II anastomosis. In this study, we investigated the overall success and role of endoscopist experience. Methods: Data of patients who underwent ERCP between 2014 and 2018 after a previous Billroth II operation were retrieved retrospectively from 2 tertiary FRCP centers. The procedures were performed by 2 endoscopists with different levels of experience. Clinical success was defined as extraction of the stone, placement of a stent through a malignant stricture, and clinical and laboratory improvements in patients. Results: Seventy-five patients were included. The technical success rate was 83% for the experienced endoscopist and 75% for the inexperienced endoscopist (p=0.46). The mean (istandard deviation) procedure tune was 23.8 +/- 5.7 min for the experienced endoscopist and 40.684:6.07 min for the inexperienced endoscopist (p<0.00I). In total, 3 perforations (4%) were found. 'the rate of afferent loop perforation was 6.25% (1/16) for the inexperienced endoscopist and 0% (0/59) for the experienced endoscopist (p=0.053). Conclusions: FRCP in patients who had undergone Billroth II gastrectomy was time consuming for the inexperienced endoscopist who should beware of the unique adverse events related to ERCP in patients with altered anatomy.en_US
dc.identifier.citationCaglar, E., Atasoy, D., Tozlu, M., Altinkaya, E., Dogan, S., & Senturk, H. (2020). Experience of the Endoscopists Matters in Endoscopic Retrograde Cholangiopancreatography in Billroth II Gastrectomy Patients. CLINICAL ENDOSCOPY, 53(1), 82–89. https://doi.org/10.5946/ce.2019.073en_US
dc.identifier.doi10.5946/ce.2019.073en_US
dc.identifier.endpage89en_US
dc.identifier.issn2234-2400en_US
dc.identifier.issn2234-2443en_US
dc.identifier.issue1en_US
dc.identifier.pmid31476843en_US
dc.identifier.scopus2-s2.0-85079178441en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage82en_US
dc.identifier.urihttps://doi.org/10.5946/ce.2019.073
dc.identifier.urihttps://hdl.handle.net/20.500.12713/491
dc.identifier.volume53en_US
dc.identifier.wosWOS:000510835400014en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAtasoy, Denizen_US
dc.language.isoenen_US
dc.publisherKorean Soc Gastrointestinal Endoscopyen_US
dc.relation.ispartofClinical Endoscopyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectComplicationen_US
dc.subjectEndoscopeen_US
dc.subjectEndoscopic Retrograde Cholangiopancreatographyen_US
dc.subjectGastrectomyen_US
dc.titleExperience of the endoscopists matters in endoscopic retrograde cholangiopancreatography in billroth II gastrectomy patientsen_US
dc.typeArticleen_US

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