F Gastroenterology and Hepatology,Takamatsu Red Cross Hospital,Takamatsu,Kagawa,Japan Get in touch with E-mail Address: htamagc.sonet.ne.jp Introduction: Although rising evidence of your usefulness of singleballoon enteroscopy (SBE) for endoscopic retrograde cholangiopancreatography (ERCP) has been reported in postoperative NSC 601980 patients with altered gastrointestinal anatomy,no shorttype SBE has been produced available within the market. Thereafter,the technical limitations or parameters of SBE (working length,cm; functioning channel diameter. mm; SIFQ,Olympus Healthcare Systems Corp Tokyo,Japan) necessitate the use of prototype endoscopic instrumentation or the replacement of SIFQ with an additional endoscope by means of the overtube. Aims Approaches: We evaluated the efficacy of a novel SBE approach by using PCFPQL (with passive bending and highforce transmission; functioning length,cm; working channel diameter. mm; Olympus Health-related Systems Corp.) in patients with an altered gastrointestinal anatomy,with out the usage of specific or prototype instrumentation or an enteroscope replacement. Involving February and March ,modified SBEassisted ERCP procedures were performed in postoperative individuals ( men and girls; mean age. years [range, years]) with altered gastrointestinal anatomy (RouxenY hepaticojejunostomy,procedures PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/23749492 in individuals; RouxenY gastrectomy,procedures in sufferers; BillrothII gastrectomy,procedures in patients; pancreatoduodenectomy,procedures in patients; and gastrojejunostomy,procedures in sufferers). In all the circumstances,a side hole was created cm in the distal finish in the overtube. ERCP was performed by inserting a PCFPQL via the side hole in the overtube and then into the gastrointestinal tract. We retrospectively evaluated the achievement price of reaching the blind finish,the imply time necessary to reach the blind end,the diagnostic achievement price,the therapeutic good results price,the imply process time,along with the complications. Benefits: Endoscopic therapeutic procedures were performed as follows: plastic biliary stent (ERBD) insertion,occasions in sufferers,which includes endoscopic sphincterotomy (EST) performed times; balloon dilatation for stenosis of hepaticojejunal anastomosis,instances in patients; choledocholithiasis extraction,times in sufferers,such as EST performed instances; removal of ERBD,occasions in individuals; endoscopic nasobiliary drainage,once; and removal of debris in the bile duct,when. Within the remaining sufferers,brush cytology of your pancreatic duct and cholangiography had been performed. The accomplishment rate of reaching the blind end was . ( patients). The mean time necessary to attain the blind end was . . min. The diagnostic success rate was . ( individuals). The imply procedure time was . . min. The success price from the overall modified SBEassisted ERC was . ( individuals). The complication rate was . (hyperamylasemia in sufferers). Conclusion: Diagnostic and therapeutic ERCP using our novel approach of modifying SBE without the need of the use of a particular or prototype instrumentation,or an enteroscope replacement is sufficiently secure and productive. It may potentially serve as an option towards the SBEassisted ERCP with SIFQ. Disclosure of Interest: None declaredA pancreatitis (PEP) in comprehensive sample was . . There was no statistical distinction in occurrence of PEP between diclofenac and ceftazidime group (RR, CI. P.). PEP incidence in females was related in booth groups in diclophenac sodium and in ceftazidime group (RR, CI . to P.). Conclusion: You’ll find no statistically considerable distinction in incidence.