F Gastroenterology and Hepatology,Takamatsu Red Cross Hospital,Takamatsu,Kagawa,Japan Contact Email Address: htamagc.sonet.ne.jp Introduction: Even though increasing proof of the usefulness of singleballoon enteroscopy (SBE) for endoscopic retrograde cholangiopancreatography (ERCP) has been reported in postoperative sufferers with altered gastrointestinal anatomy,no shorttype SBE has been produced accessible in the marketplace. Thereafter,the technical limitations or parameters of SBE (working length,cm; working channel diameter. mm; SIFQ,Olympus Healthcare Systems Corp Tokyo,Japan) necessitate the usage of prototype endoscopic get SZL P1-41 instrumentation or the replacement of SIFQ with an additional endoscope through the overtube. Aims Solutions: We evaluated the efficacy of a novel SBE strategy by using PCFPQL (with passive bending and highforce transmission; functioning length,cm; functioning channel diameter. mm; Olympus Medical Systems Corp.) in sufferers with an altered gastrointestinal anatomy,with out the usage of specific or prototype instrumentation or an enteroscope replacement. Among February and March ,modified SBEassisted ERCP procedures were performed in postoperative patients ( men and ladies; mean age. years [range, years]) with altered gastrointestinal anatomy (RouxenY hepaticojejunostomy,procedures PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/23749492 in sufferers; RouxenY gastrectomy,procedures in patients; BillrothII gastrectomy,procedures in sufferers; pancreatoduodenectomy,procedures in sufferers; and gastrojejunostomy,procedures in sufferers). In all the cases,a side hole was made cm in the distal finish of your overtube. ERCP was performed by inserting a PCFPQL through the side hole of the overtube after which in to the gastrointestinal tract. We retrospectively evaluated the achievement price of reaching the blind end,the imply time essential to reach the blind end,the diagnostic good results rate,the therapeutic good results rate,the mean procedure time,plus the complications. Results: Endoscopic therapeutic procedures were performed as follows: plastic biliary stent (ERBD) insertion,occasions in individuals,which includes endoscopic sphincterotomy (EST) performed occasions; balloon dilatation for stenosis of hepaticojejunal anastomosis,instances in patients; choledocholithiasis extraction,instances in sufferers,such as EST performed occasions; removal of ERBD,instances in patients; endoscopic nasobiliary drainage,as soon as; and removal of debris in the bile duct,after. In the remaining individuals,brush cytology from the pancreatic duct and cholangiography were performed. The good results price of reaching the blind finish was . ( individuals). The mean time necessary to reach the blind end was . . min. The diagnostic accomplishment rate was . ( individuals). The mean process time was . . min. The accomplishment rate on the overall modified SBEassisted ERC was . ( sufferers). The complication price was . (hyperamylasemia in patients). Conclusion: Diagnostic and therapeutic ERCP making use of our novel method of modifying SBE without the usage of a specific or prototype instrumentation,or an enteroscope replacement is sufficiently secure and successful. It might 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 difference in occurrence of PEP in between diclofenac and ceftazidime group (RR, CI. P.). PEP incidence in females was similar in booth groups in diclophenac sodium and in ceftazidime group (RR, CI . to P.). Conclusion: You can find no statistically important distinction in incidence.