Introduction Endoscopic retrograde cholangiopancreatography(ERCP)in patients with Billroth II gastrectomy has been considered a challenging procedure due to the surgically altered gastrointestinal anatomy[1].Endoscopi...Introduction Endoscopic retrograde cholangiopancreatography(ERCP)in patients with Billroth II gastrectomy has been considered a challenging procedure due to the surgically altered gastrointestinal anatomy[1].Endoscopic ultrasound(EUS)-guided rendezvous technique(EUS-RV)is an effective salvage technique for failed biliary cannulation during ERCP[2].We present a case of biliary calculus in a patient with a history of Billroth II gastrectomy.We successfully performed ERCP combined with EUS-RV using simultaneous endoscopic ultrasonography and gastroscopy to remove the biliary stones.This approach offers a novel and feasible endoscopic therapeutic strategy for managing such complex cases.展开更多
基金supported by the Natural Science Foundation of Hebei Province(No.H2021206439)。
文摘Introduction Endoscopic retrograde cholangiopancreatography(ERCP)in patients with Billroth II gastrectomy has been considered a challenging procedure due to the surgically altered gastrointestinal anatomy[1].Endoscopic ultrasound(EUS)-guided rendezvous technique(EUS-RV)is an effective salvage technique for failed biliary cannulation during ERCP[2].We present a case of biliary calculus in a patient with a history of Billroth II gastrectomy.We successfully performed ERCP combined with EUS-RV using simultaneous endoscopic ultrasonography and gastroscopy to remove the biliary stones.This approach offers a novel and feasible endoscopic therapeutic strategy for managing such complex cases.
