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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 | Performance of the Super Modified Simplex显示文摘 | Routh M W Swartz P A Denton M B | 1977 | Anal Chem1977，，49： | 1 |
| 3 | Arsenic mobility and groundwater extraction in Bangladesh显示文摘 | Harvey C F Swartz C H Badruzzaman A B M | 2002 | Sci- ence2002，298，： | 1 |
| 4 | Arsenic mobility and groundwater extraction in Bangladesh显示文摘 | HARVEY C F SWARTZ C H BADRUZZAMAN A B M | 2002 | Science2002，298，： | 1 |
| 5 | Laser range-gated underwater imaging including polarization discrimination显示文摘 | Swartz B A Cummings J D | 1991 | SPIE1991，1537，： | 1 |
| 6 | Effects of Body Mass Index on the Accuracy of an Electronic Pedometer显示文摘 | SWARTZ A M BASSETT D R MOORE J B | 2003 | Int J Sports Med2003，24，8： | 1 |
| 7 | Arsenic mobility and groundwater extraction in Bangladesh 显示文摘 | Harvey C F Swartz C H Badruzzaman A B M | 2002 | Science2002，298，5598： | 1 |
| 8 | Myosin heavy chain isoforms influence myofibrillar ATPase activity under simulated postmortem pH,calcium,and temperature conditions显示文摘 | BOWKER B C GRANT A SWARTZ D R | | 0，，01： | 1 |
| 9 | Vitamin A deficiency inhibits intestinaladaptation by modulating apoptosis,proliferation,and enterocyte migration显示文摘 | Deborah A Swartz B Lihua W | 2003 | AJP-GI2003，285，： | 1 |
| 10 | Arsenic mobility and groundwater extraction in Bangladesh 显示文摘 | Harvey C F Swartz CH Badruzzaman A B M | 2002 | Science2002，298，： | 1 |
| 11 | Validity of Four Motion Sensors in Measuring Moderate Intensity Physical Activity显示文摘 | BASSETT D R AINSWORTH B E SWARTZ A M | 2000 | Med Sci Sports Exe2000，32，9： | 1 |
| 12 | Retinoic Acid Stimulates Early Cellular Proliferation in the Adapting Remnant Rat Small Intestine after Partial Resection显示文摘 | Joseph L W Deborah A Swartz B | 1997 | J Nutr1997，127，： | 1 |
| 13 | Arsenic mobility and groundwater extraction in Bangladesh显示文摘 | Harvey C F Swartz C H Badruzzaman A B M | 2002 | Science2002，298，5598： | 1 |
| 14 | Effects of storage on toxicity of sediments spiked with fluoranthene to the amphipod Rhepoxynius abronius显示文摘 | Cole F A B L Boese R C Swartz | 2000 | Environmental Toxicology and Chemistry2000，19，： | 1 |
| 15 | Why We Blog显示文摘 | Nardi B A Schiano D J Gumbrecht M &Swartz L | 2004 | Communications of the ACM2004，47，12： | 1 |
| 16 | Adventitious shoot regeneration from in vitro-cultured leaves of Rubus genotypes 显示文摘 | TURK B A SWARTZ H J ZIMMERMAN R H | 1994 | Plant Cell Tissue and Organ Culture1994，38，1： | 1 |
| 17 | Validity of four motion sensors in measuring moderate intensity physical activity显示文摘 | BASSET D R J R AINSWORTH B E SWARTZ A M | 2000 | Med Sci Sports Exe2000，32，9： | 1 |
| 18 | Arsenic mobility and groundwater extraction in Bangladesh 显示文摘 | Harvey C F Swartz C H Badruzzaman A B M | 2002 | Science2002，298，： | 1 |
| 19 | Multi- material incompressible flow simulation using the moment-of-fluid method显示文摘 | Schofield S P Christon M A Dyadechko V Garimella R V Lowrie R B Swartz B K | 2010 | International Journal for Numerical Methods in Fluids2010，63，8： | 1 |
| 20 | Compendium of physical activities: an update of activitly codes and MET intensities 显示文摘 | Ainsworth B E Haskell W L Whitt M C Irwin M L Swartz A M Strath S J | 2000 | Med Sci Sports Exerc2000，32，9： | 1 |
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