Endobiliary RFA was applied to the common bile duct for 60 seconds using by RFA probe which Selleck LY2606368 could be endoscopically inserted. ERC was repeated
two and four weeks respectively after the RFA to identify BBS. After the strictures were identified, the animals were euthenized and bile duct samples were achieved to evaluate the pathologic findings. Results: BBS were verified in all animals. Cholangitis were detected on endoscopic findings of day 14 in all the animals of 3 groups, but not significant. Bile duct perforations occurred in 1 swine (n = 1, 100%) for 100 W group, and 1 swine (n = 7, 14.3%) for 80 W group. There was no major complication (n = 4, 0%) in 60 W group. All benign strictures were proven pathologically. The pathologic findings resembled BBS in human. Conclusion: The application of endobiliary RFA with 60 W-electrical power resulted in a safe and reproducible swine model of BBS. Key Word(s): 1. radiofrequency ablation; 2. bile duct stricture; 3. swine Presenting Author: HIROYUKI TAMAKI Additional Authors: TERUYO NODA, YUMIKO MORIOKA, SOUICHI ARASAWA, MASAKO IZUTA, ATSUSHI KUBO, CHIKARA OGAWA, TOSHIHIRO MATSUNAKA, MITSUSHIGE SHIBATOGE Corresponding Author: HIROYUKI TAMAKI Affiliations: Takamatsu Red Cross Hospital, Takamatsu Red Cross
Hospital, Takamatsu Red Cross Hospital, Takamatsu Red Cross Hospital, Takamatsu Red Cross Hospital, Takamatsu Red Cross Hospital, Takamatsu Red Cross Hospital, Takamatsu Red Cross Hospital Objective: Increasing evidence has reported the usefulness of single-balloon enteroscopy (SBE) for endoscopic retrograde find more cholangiography (ERC) in postoperative patients with altered gastrointestinal anatomy. However, the technical limitations or parameters of SBE necessitate the use of special endoscopic instrumentation or the replacement endoscope with another one through the overtube. Here, we evaluated the efficacy of a novel SBE approach using PCF-PQ260L (with passive bending and a high-force transmission; working length, 168 cm; working channel diameter, 2.8 mm; Olympus Medical Systems Corp., Tokyo, Japan) in patients with altered gastrointestinal anatomy, without the
use of special or prototype instrumentation or enteroscope replacement. Methods: Between February 2012 and March selleck chemical 2014, 19 modified SBE-assisted ERC procedures were performed in 14 postoperative patients with altered gastrointestinal anatomy (Roux-en-Y gastrectomy in five, Roux-en-Y hepaticojejunostomy in three, Billroth-II gastrectomy in two, pancreatoduodenectomy in two, and gastrojejunostomy in two). In all cases, a side hole was made 110 cm from the distal end of the overtube. ERC was performed using a PCF-PQ260L inserted through the side hole into the gastrointestinal tract. We retrospectively evaluated the success rate of reaching the blind end, the mean time required to reach the blind end, the diagnostic success rate, the therapeutic success rate, the mean procedure time, and complications.