Document Detail


Initial report of a variable stiffness duodenoscope for use during endoscopic retrograde cholangiopancreatography.
MedLine Citation:
PMID:  20921902     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
GOALS: To evaluate a new variable stiffness duodenoscope.
BACKGROUND: Variable stiffness colonoscopies have been in use for nearly a decade. We report the initial experience with a new, variable stiffness duodenoscope for use during endoscopic retrograde cholangiopancreatography (ERCP).
STUDY: Retrospective, single tertiary referral academic center. Among the first 50 patients to undergo ERCP with the variable stiffness cope, 3 patients in whom the variable stiffness duodenoscope was instrumental in procedural success are discussed in detail.
RESULTS: In the first 50 patients in whom the variable stiffness duodenoscope was used, the variable stiffness function was critical to procedural success in 3 patients (6%). One patient had a gastric bypass with Roux-en-Y anatomy, 1 patient had a large J-shaped stomach that could not be traversed by a routine duodenoscope, and 1 patient had a duodenal stenosis that could not be traversed by a routine duodenoscope. In these 3 patients, the variable stiffness function allowed for procedure success.
CONCLUSIONS: Although most ERCPs can be accomplished with standard duodenoscopes, in cases in which extra endoscope stiffness was felt to be required, the variable stiffness function was extremely helpful.
Authors:
Douglas G Adler
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical gastroenterology     Volume:  45     ISSN:  1539-2031     ISO Abbreviation:  J. Clin. Gastroenterol.     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7910017     Medline TA:  J Clin Gastroenterol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  590-2     Citation Subset:  IM    
Affiliation:
Gastroenterology and Hepatology, Huntsman Cancer Center, University of Utah School of Medicine, Salt Lake City, UT.
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