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Endoscopic retrograde cholangiopancreatography in patients with Roux‐en‐Y anatomy
Author(s) -
Lopes Tercio L.,
Baron Todd H.
Publication year - 2011
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1007/s00534-010-0361-6
Subject(s) - endoscopic retrograde cholangiopancreatography , roux en y anastomosis , medicine , gastric bypass , endoscopy , therapeutic endoscopy , surgery , general surgery , pancreatitis , weight loss , obesity
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.