JOURNAL ARTICLE
REVIEW

Endoscopic retrograde cholangiopancreatography in patients with Roux-en-Y anatomy

Tercio L Lopes, Todd H Baron
Journal of Hepato-biliary-pancreatic Sciences 2011, 18 (3): 332-8
21140174

INTRODUCTION: Roux-en-Y gastric bypass is increasingly performed in the United States. In addition, liver transplantation and other complex hepatobiliary surgeries are increasingly performed with creation of a Roux-en-Y hepaticojejunostomy. Consequently, endoscopists more frequently need to carry out endoscopic procedures in patients with Roux-en-Y anatomy.

MATERIALS AND METHODS: The present article discusses the techniques and instruments available to therapeutic endoscopists who are faced with the challenge of performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with long- or short-limb Roux-en-Y anatomy.

CONCLUSION: Endoscopists can successfully perform ERCP in patients with Roux-en-Y anatomy by making use of appropriate techniques and instruments.

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