{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:15:09Z","timestamp":1782450909905,"version":"3.54.5"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,3,3]],"date-time":"2024-03-03T00:00:00Z","timestamp":1709424000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Texture and color enhancement imaging (TXI) reportedly improves the identification of the papilla of Vater for selective biliary cannulation compared with white light imaging (WLI). This multicenter study evaluated the efficacy of short\u2010type single\u2010balloon enteroscopy (SBE)\u2010assisted biliary cannulation using a new\u2010generation image\u2010enhanced endoscopy processing system equipped with TXI in patients who underwent Roux\u2010en\u2010Y gastrectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with Roux\u2010en\u2010Y gastrectomy with a native papilla, and underwent short SBE\u2010assisted biliary cannulation during endoscopic retrograde cholangiopancreatography\u2010related procedures between January 2019 and April 2023 were retrospectively reviewed. Outcomes of biliary cannulation using TXI and WLI were compared. The primary outcome was time to successful biliary cannulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010three patients underwent biliary cannulation with TXI and 98 underwent WLI. The biliary cannulation success rates and median time to successful biliary cannulation with TXI and WLI were 93.9% (95% confidence interval [CI] 79.8\u201399.3%) and 83.7% (95% CI 74.8\u201390.4%), respectively (<jats:italic>P<\/jats:italic>\u2009=\u20090.14), and 10\u2009min (interquartile range [IQR] 2.5\u201323.5) and 18\u2009min (IQR 9.75\u201324), respectively (<jats:italic>P<\/jats:italic>\u2009=\u20090.04). Biliary cannulation with TXI required a shorter cannulation time than that required with\u00a0WLI. Adverse event rates with TXI and WLI did not differ\u00a0significantly (<jats:italic>P<\/jats:italic>\u2009=\u20090.58). Multivariate linear regression analysis showed that the use of TXI and short length of oral protrusion were associated with a shorter successful biliary cannulation time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Short SBE\u2010assisted biliary cannulation was effective and safe on TXI in patients who underwent Roux\u2010en\u2010Y gastrectomy, and achieved shorter successful biliary cannulation time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.14769","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T04:33:45Z","timestamp":1709526825000},"page":"1030-1040","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Efficacy of texture and color enhancement imaging for short\u2010type single\u2010balloon enteroscopy\u2010assisted biliary cannulation in patients with Roux\u2010en\u2010Y gastrectomy: Multicenter study (with video)"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2765-3306","authenticated-orcid":false,"given":"Yuki","family":"Tanisaka","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7308-4311","authenticated-orcid":false,"given":"Mamoru","family":"Takenaka","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Faculty of Medicine Kindai University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masafumi","family":"Mizuide","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saitama Medical University International Medical Center  Saitama 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