Journal
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
Volume 18, Issue 3, Pages 332-338Publisher
WILEY
DOI: 10.1007/s00534-010-0361-6
Keywords
Roux-en-Y; ERCP; Gastric bypass; Post-surgical anatomy
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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. 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. Endoscopists can successfully perform ERCP in patients with Roux-en-Y anatomy by making use of appropriate techniques and instruments.
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