Results: Deep insertion of the short DBE to the ductal anastomosis or papilla was successful in 463 of the 473 procedures (97.9%). The success rate was 97.2% (241/248)
for R&Y, 100% (95/95) for BII, 98.5% (64/65) for PD, 95.0% (38/40) for PpPD, and 100% (25/25) for others. Deep biliary cannulation was successful in 440 of the 463 procedures (95.0%). The success rate was 97.1% (234/241) for R&Y, 93.7% (89/95) for BII, 98.4% (63/64) for PD, 97.4% (37/38) for PpPD, and 96.0% (24/25) for Panobinostat order others. Therapeutic intervention was achieved in all of the 440 procedures of successful deep cannulation (100%). Complications occurred in 20 of the 473 procedures (4.2%) (20 procedures; 11 procedures for R&Y, 7 procedures for BII and 2 procedures for PD), including perforation (12 procedures; retroperitoneal perforation (n = 3), post ES perforation (n = 3), intestinal perforation (n = 5), and subcutanus emphysema with pneumothrax (n = 1)), laceration (n = 4), acute pancreatitis (n = 3), and carbon dioxide narcosis (n = 1). Although two patients (one with intestinal perforation and the other with juxtrapapillary duodenal diverticula perforation) required urgent surgery, the other 18 patients were managed successfully with conservative treatments, including nothing
per mouth, placement of nasojejunal tube, endoclip closure and placement of chest tube. Although severe pancreatitis occurred in one patient, the patient recovered with conservative treatments. Conclusion: ERCP by a short type DBE is highly effective and safety in patients 上海皓元 with altered gastrointestinal anatomy, especially BMS-907351 in patients with Roux-en-Y reconstruction. Key Word(s): 1. DBE assisted ERCP; 2. ERCP; 3. Roux-en-Y; 4. Billroth II; Presenting Author:
HONG YAN Corresponding Author: HONG YAN Affiliations: Jinggangshan University Objective: Livin, a novel inhibitor of apoptosis protein, specially expressing in embryonic cells and tumor cells, plays an important role in inhibiting tumor cell apoptosis. Smac is a novel pro-apoptotic protein. This study was designed to explore the effects of Livin gene silencing on the expression of Smac and apoptosis of colorectal carcinoma Caco-2 cells. Methods: Livin specific siRNA oligonucleotides were designed and synthesized artificially. SiRNA was transfected into Caco-2 cells using lipofection technology. Transfection efficiency was detected by Western blot and RT-PCR. Cellular proliferation activeties were assayed by MTT. The apoptosis of cells was assayed by flow cytometry. The expression of Smac protein in the cells was detected by Western blot after transfected by si-Livin. Results: Compared with other transfected groups and control groups, the protein levels of Livin and the mRNA expressions of Livinα and Livinβ in the cells were decreased significantly after transfected by si-Livin1 (P < 0.01).