{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T10:31:46Z","timestamp":1788517906140,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,12,19]],"date-time":"2021-12-19T00:00:00Z","timestamp":1639872000000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Digest Diseases"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux\u2010en\u2010Y reconstruction after total gastrectomy is difficult to be performed using routine tools. The aim of this study was to evaluate the feasibility and safety of cap\u2010assisted routine adult colonoscope (CARAC) for ERCP in these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixteen consecutive patients with indications of ERCP who had previously undergone total gastrectomy with Roux\u2010en\u2010Y reconstruction at two tertiary care endoscopy centers were identified. All ERCP procedures were carried out by using CARAC. The success rate of reaching the papilla, biliary cannulation and procedure\u2010related adverse events were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The papilla was successful reached in 11 (68.8%) of the 16 cases, and biliary cannulation was subsequently reached in eight (72.7%) of the 11 cases. The procedures succeeded in three patients by using a percutaneous\u2013endoscopic rendezvous procedure after failed cannulation. Overall clinical success was achieved in 11 (68.8%) of 16 patients. Procedure\u2010related mild acute pancreatitis was observed in 25.0% (4\/16) of the cases and mild cholangitis in 18.8% (3\/16). No serious adverse events were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>CARAC for therapeutic ERCP is safe and effective in treating patients with Roux\u2010en\u2010Y reconstruction after total gastrectomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1751-2980.13069","type":"journal-article","created":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T08:14:42Z","timestamp":1637828082000},"page":"721-726","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The feasibility of cap\u2010assisted routine adult colonoscope for therapeutic endoscopic retrograde cholangiopancreatography in patients with <scp>Roux\u2010en\u2010Y<\/scp> reconstruction after total gastrectomy"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1219-9083","authenticated-orcid":false,"given":"Jian Bo","family":"Ni","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Shanghai General Hospital, Shanghai Jiao Tong University  Shanghai China"},{"name":"Shanghai Key Laboratory of Pancreatic Disease, Shanghai General Hospital Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei Ying","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shanghai Sixth People\u02bcs Hospital Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Shanghai General Hospital, Shanghai Jiao Tong University  Shanghai China"},{"name":"Shanghai Key Laboratory of Pancreatic Disease, Shanghai General Hospital Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei Ming","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Shanghai General Hospital, Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lun Gen","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Shanghai General Hospital, Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4201-633X","authenticated-orcid":false,"given":"Xin Jian","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shanghai Sixth People\u02bcs Hospital Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Shanghai General Hospital, Shanghai Jiao Tong University  Shanghai China"},{"name":"Shanghai Key Laboratory of Pancreatic Disease, Shanghai General Hospital Shanghai Jiao 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