E ( cholangitis,biliary colic) in an typical time of . months,devoid of migration of stent. In these instances,we changed the stent in patients and stone clearance with removal the stent in . Following this,these patients were asymptomatic. Five sufferers died of causes not related and carried the stent for the duration of an average time of . months. . Plastic biliary stenting as a brigde for surgical intervention (n . of sufferers showed biliary disease ( cholecystitis months following initial placement,pancreatitis month following placement and biliary colic,months after). These individuals underwent elective cholecystectomy. Surgical intervention was carried out in an average time of . months. . Sufferers with further ERCP (n individuals needed ERCP receiving stone fragmentation andor removal in most instances (n patients required greater than ERCP to successfully resolve the bile duct obstruction in . (n). Only patients required a surgical intervention for the resolution of choledocholithiasis. Conclusion: In line with these outcomes,the effectiveness of plastic biliary stenting are straight connected with placement time. Plastic stent as a final choice should be replaced annually. As a bridge for surgical intervention,this procedure need to be carried out before months. In individuals with extra ERCP,it’s an PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/23749492 effective measure. Even so further research are needed to confirm this information. References . Di Giorgio Pietro,et al. Endoscopic plastic stenting for bile duct stones: stent altering on demand or just about every months. A SGC707 prospective comparison study. Endoscopy ; : . . Eoin Slattery,Vikrant Kale,Waqas Anwar,Garry Courtney and Abdur R.Aftab. Role of longterm biliary stenting in choledocholithiasis. Digestive Endoscopy ; : . Disclosure of Interest: None declaredUnited European Gastroenterology Journal (S) P COMPARISON OF Standard DUODENOSCOPE AND SINGLEBALLOON ENTEROSCOPE TO Execute ERCP IN Sufferers WITH BILLROTH II GASTRECTOMY G. Mbatshi,T. Aouattah,R. Yeung,E. Macken,B. Roth,H. U. De Schepper,H. Piessevaux,P. H. Deprez,T. G. Moreels Gastroenterology Hepatology,Cliniques Universitaires SaintLuc,Brussels,Gastroenterology Hepatology,Antwerp University Hospital,Antwerp,Belgium Contact Email Address: tmoreelsgmail Introduction: Billroth II partial gastrectomy precludes conventional endoscopic retrograde cholangiopancreatography (ERCP) as a result of altered anatomy. It renders ERCP extra tough as a result of the intubation of the afferent limb plus the orientation with the intact papilla. Aims Strategies: Comparison of ERCP procedures performed with all the standard duodenoscope as well as the singleballoon enteroscope (SBE) in Billroth II individuals in university endoscopy units. Billroth II individuals underwent ERCP procedures in between and . Technical aspects,therapeutic results and complications were recorded. Results: Malefemale ratio was ( having a imply age ofyears. The initial selection of endoscope sort was in the endoscopists discretion. ( ERCPs were started working with a duodenoscope of whom ( had been productive and have been completed making use of SBE. ( ERCPs had been began applying SBE of whom ( had been profitable and had been completed using a pediatric colonoscope. ( ERCPs had been started using a pediatric colonoscope of whom had been completed with a duodenoscope and with all the SBE. In total ( procedures needed a alter of endoscope form as a way to full the procedure. All round therapeutic accomplishment rate employing a duodenoscope was vs using SBE (P , Chissquare),whereas results price using a pediatric colonoscope was only (P , Chisqu.
