Pharmacy News Article

By a News Reporter-Staff News Editor at Gastroenterology Week Research findings on Gastroenterology are discussed in a new report. According to news reporting out of Kyoto, Japan, by NewsRx editors, research stated, "Double-balloon enteroscope (DBE)-assisted endoscopic retrograde cholangiopancreatography (ERCP) is an effective endoscopic approach for pancreatobiliary disorders in patients with altered gastrointestinal anatomy. Endoscopic interventions via DBE in these postoperative settings remain difficult because of the lack of an elevator and the use of extra-long ERCP accessories."

Our news journalists obtained a quote from the research from City Hospital, "Here, we report the usefulness of direct cholangioscopy with an ultra-slim gastroscope during DBE-assisted ERCP. Three patients with choledocholithiasis in postoperative settings (two patients after Billroth II gastrojejunostomy and one patient after Roux-en-Y gastrojejunostomy) were treated. DBE was used to gain access to the papilla under carbon dioxide insufflation, and endoscopic sphincterotomy was performed with a conventional sphincterotome. For direct cholangioscopy, the enteroscope was exchanged for an ultra-slim gastroscope through an incision in the overtube, which was inserted directly into the bile duct. Direct cholangioscopy was used to extract retained bile duct stones in two cases and to confirm the complete clearance of stones in one case. Bile duct stones were eliminated with a 5-Fr basket catheter under direct visual control. No adverse events were noted in any of the three cases. Direct cholangioscopy with an ultra-slim gastroscope facilitates subsequent treatment within the bile duct."

According to the news editors, the researchers concluded: "This procedure represents another potential option during DBE-assisted ERCP."

For more information on this research see: Direct cholangioscopy combined with double-balloon enteroscope-assisted endoscopic retrograde cholangiopancreatography. World Journal of Gastroenterology, 2012;18(28):3765-9. World Journal of Gastroenterology can be contacted at: W J G Press, PO Box 2345, Beijing 100023, Peoples R China. (Baishideng Publishing Group - www.wjgnet.com/; World Journal of Gastroenterology - www.wjgnet.com/1007-9327/current.htm)

Our news journalists report that additional information may be obtained by contacting T. Koshitani, Tatsuya Koshitani, Shogo Matsuda, Koji Takai, Takayuki Motoyoshi, Makoto Nishikata, Yasuhide Yamashita, Toshihiko Kirishima, Naomi Yoshinami, Hiroyuki Shintani, Dept. of Gastroenterology, Kyoto City Hospital, Kyoto 6048845, Japan (see also Gastroenterology).

Publisher contact information for the World Journal of Gastroenterology is: W J G Press, PO Box 2345, Beijing 100023, Peoples R China.

Keywords for this news article include: Asia, Kyoto, Japan, Gastroenterology.

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