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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 | Investigation of waterhammer in piping networks with voids containing non- condensable gas显示文摘 | Lai A Hau K F Swartz R | 2000 | Nuclear Engineering and Design2000，，197： | 1 |
| 3 | Successful reversal of echovirus encephalitis in X-linked hypogammaglobulinemia by intraventricular administration of immunoglobulin 显示文摘 | Eflendsson K Swartz T Dwyer JM | 1985 | N Engl J Med1985，312，6： | 1 |
| 4 | Clostridium difficile among hospitalized patients receiving antibiotics:a case-control study显示文摘 | Modena S Bearelly D Swartz K | 2005 | Infect Control Hosp Epidemiol2005，26，8： | 1 |
| 5 | Minimal change disease with lgM+ immunofluorescence: a subtype of nephrotic syndrome 显示文摘 | Swartz S J Eldin K W Hicks M J | 2009 | Pediatr Nephro12009，24，6： | 1 |
| 6 | Influence of microbial stimulation on hypergammaglobulinemia and autoantibody production in pristine-induced lupus显示文摘 | Hamilton K J Satoh M Swartz J | 1998 | Clin Immunol Immunopathol1998，86，3： | 1 |
| 7 | Clostridium difficile among hospitalized patients receiving antibiotics:a case-control study显示文摘 | Modena S Bearelly D Swartz K | 2005 | Infect Control Hosp Epidemiol2005，26，8： | 1 |
| 8 | Surgical considerations and controversies in thyroid and parathyroid surgery显示文摘 | Affleck BD Swartz K Brennan J | 2003 | Otolaryngol Clin North Am2003，36，： | 1 |
| 9 | Wing structure and the aerodynamic basis of flight in bats显示文摘 | Swartz S M Diaz J I Riskin D K | | 0，，： | 1 |
| 10 | Kümmell′s disease:a case report and literature review显示文摘 | SWARTZ K FEE D | 2008 | Spine2008，33，5： | 1 |
| 11 | Marginal bone levels around maxillary implants supporting overdentures or fixed prostheses: a comparative study using detailed narrow-beam radiographs显示文摘 | Palmqvist S Sondell K Swartz B | 1996 | IntJ Oral Maxillofac Implants1996，11，2： | 1 |
| 12 | Preliminary culture and life-cycle experiments with the benthic amphipod Ampeliscaabdita显示文摘 | REDMOND M S SCOTT K J SWARTZ R C | 1994 | Environ Toxicol Chem1994，13，： | 1 |
| 13 | Implant-supported maxillary overdentures: outcome in planned and emergency cases显示文摘 | Palmqvist S Sondell K Swartz B | 1994 | Int J Oral Maxillofac Implants1994，9，2： | 1 |
| 14 | The role of monoamine oxi- dase inhibitors in current psychiatric practice显示文摘 | FIEDOROWICZ J G SWARTZ K L | 2004 | J Psychiatr Pract2004，10，4： | 1 |
| 15 | Intra aortic balloon pumping in patients requiring cardiac operations显示文摘 | Naunheim K S Swartz M T Penningon D G et a1 | 1992 | ThoracCardiovasc Surg1992，104，6： | 1 |
| 16 | Intracranial arterial wall imaging u- sing high-resolution 3-tesla contrast-enhanced MRI显示文摘 | Swartz R H Bhuta S S Farb R I Agid R Willinsky R A Terbrugge K G | 2009 | Neurology2009，72，： | 1 |
| 17 | Interlaboratory comparison of a 10-day sediment toxicity test method using Ampeliscaabdita,Eohaustoriusestuarius andLeptocheirusplumulosus显示文摘 | SCHLEKAT C E SCOTT K J SWARTZ R C | 1995 | Environmental Toxicology and Chemistry1995，14，12： | 1 |
| 18 | Kiimmetl's disease:a case report and literature review 显示文摘 | Swartz K Fee D | 2008 | Spine ( Phila Pa 1976 )2008，33，5： | 1 |
| 19 | A front tracking code based on Godunov's method 显示文摘 | Swartz B K Wendroff B | 1986 | Appl Numer Math1986，2，： | 1 |
| 20 | Recurrent lumbar disc herniation显示文摘 | Swartz K R Trost G R | 2003 | Neurosurg Focus2003，15，3： | 1 |
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