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| 1 | Rotational assisted endoscopic retrograde cholangiopancreatography in patients with reconstructive gastrointestinal surgical anatomy显示文摘AIM: To evaluate the success rates of performing therapy utilizing a rotational assisted enteroscopy device in endoscopic retrograde cholangiopancreatography(ERCP) in surgically altered anatomy patients. METHODS: Between June 1, 2009 and November 8, 2012, we performed 42 ERCPs with the use of rotational enteroscopy for patients with altered anatomy(39 with gastric bypass Roux-en-Y, 2 with Billroth Ⅱ gastrectomy, and 1 with hepaticojejunostomy associated with liver transplant). The indications for ERCP were: choledocholithiasis: 13 of 42(30.9%), biliary obstruction suggested on imaging: 20 of 42(47.6%), suspected sphincter of Oddi dysfunction: 4 of 42(9.5%), abnormal liver enzymes: 1 of 42(2.4%), ascending cholangitis: 2 of 42(4.8%), and bile leak: 2 of 42(4.8%). All procedures were completed with the Olympus SIF-Q180 enteroscope and the Endo-Ease Discovery SB overtube produced by Spirus Medical. RESULTS: Successful visualization of the major ampulla was accomplished in 32 of 42 procedures(76.2%). Cannulation of the bile duct was successful in 26 of 32 procedures reaching the major ampulla(81.3%). Successful therapeutic intervention was completed in 24 of 26 procedures in which the bileduct was cannulated(92.3%). The overall intention to treat success rate was 64.3%. In terms of cannulation success, the intention to treat success rate was 61.5%. Ten out of forty two patients(23.8%) required admission to the hospital after procedure for abdominal pain and nausea, and 3 of those 10 patients(7.1%) had a diagnosis of post-ERCP pancreatitis. The average hospital stay was 3 d.CONCLUSION: It is reasonable to consider an attempt at rotational assisted ERCP prior to a surgical intervention to alleviate biliary complications in patients with altered surgical anatomy. | Majed El Zouhairi James B Watson Svetang V Desai David K Swartz Alejandra Castillo-Roth Mahfuzul Haque Paul S Jowell Malcolm S Branch Rebecca A Burbridge | 2015 | World Journal of Gastrointestinal Endoscopy2015，7，3： | 10 |
| 2 | Spatial patterns of photosynthesis in thin-and thick-leaved epiphytic orchids:unravelling C3-CAM plasticity in an organ-compartmented way显示文摘 | IVhria A R Alejandra M Aline B C | 2013 | Annals of Botany2013，112，： | 1 |
| 3 | Metals in Alcoholic Beverages: A Review of Sources, Effects, Concentrations, Removal, Speciation, and Analysis 显示文摘 | JORGE G I ALEJANDRA C A MAXIMILIANO B S | 2008 | Journal of Food Composition and?Analysis2008，21，8： | 1 |
| 4 | Antioxidant effects of water-and lipid-soluble nitroxide radicals in liposomes显示文摘 | Alejandra N C Lidia L P Graciela B | 2004 | Free Radical Biology and Medicine2004，37，12： | 1 |
| 5 | Effect of salinity on the quantity and quality of carotenoids accumulated by Dunaliella salina(strain CONC-007) and Dunaliella bardawil(strain ATCC 30861) Chlorophyta显示文摘 | Patricia I G Alejandra B Ana S C | 2003 | Biol Res2003，36，： | 1 |
| 6 | Aroma profile and volatiles odor activity along gold culfivar pineapple flesh显示文摘 | Marta M C Maria Alejandra R G Olga M B | 2010 | Journal of Food Science2010，75，： | 1 |
| 7 | Bacillus thuringiensis : A story of a successful bioinsecticide显示文摘 | ALEJANDRA B SUPAPORN L SARJEET S G | 2011 | Insect Biochemistry and Molecular Biology2011，41，： | 1 |
| 8 | Antioxidant effects of water-and lipid-soluble nitroxide radicals in liposomes 显示文摘 | Alejandra N C Lidia L P Graciela B | 2004 | Free Radical Biology and Medicine2004，37，12： | 1 |
| 9 | Conchological variation in Pomacea canaliculata and other South American Ampullariidae (Caenogastropoda,Architaenioglossa)显示文摘 | Alejandra L Estebenet P R M Silvana B | | 0，，： | 1 |
| 10 | Molecular charac- terization of the Arabidopsis floral homeotic-gene,APETA- LAI 显示文摘 | Alejandra M Cindy G B Beth S | 1992 | Nature1992，360，： | 1 |
| 11 | Human Apolipoprotein A-I Binds Amyloid-β and Prevents A fl-induced Neurotoxieity 显示文摘 | ANDREA C ALEJANDRA T M JORDANO B M | 2009 | Int J Bloc Cell Biol2009，41，6： | 1 |
| 12 | Towards Integration of Geographic Information Systems显示文摘 | AGUSTINA B ALEJANDRA C | 2007 | Electronic Notes in Theoretical Computer Science2007，168，2： | 1 |
| 13 | Scopolamine,anisodamine and hyoscyamine production by Brugmansia Candidahairy root cultures in bioreactors 显示文摘 | ALEJANDRA B C ANGELA M O VICTOR DB | 2010 | Process Biochemistry2010，45，11： | 1 |
| 14 | A simple and rapid method for the identification and quantification of malachite green and its metabolite in hake by HPLC - MS/MS显示文摘 | Carolina N Alejandra I Rocio B | 2013 | Food Control2013，31，： | 1 |
| 15 | Microscopic anatomy of the mantle of the pearl oyster Pinctada mazatlanica (Hanley,1856)显示文摘 | Alejandra G G Rosa I O Miguel B | 1994 | Jounal of Shellfish Research1994，13，1： | 1 |
| 16 | Molecular characterization of the A rabidopsis floral homeotic geneAPETALA 1 显示文摘 | Alejandra Mandel M Gustafson-Brown C Savidge B | 1992 | Nature1992，360，： | 1 |
| 17 | Antioxidant effects of water-and lipid-soluble nitroxide radicals in liposomes显示文摘 | ALEJANDRA N C LIDIA L P GRACIELA B | 2004 | Free Radical Biology and Medicine2004，37，12： | 1 |
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