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Endoscopy in Small Bowel Disorders pp 209–221Cite as

ERCP in Patients with Altered Anatomy

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Abstract

The number of patients with surgically altered anatomy is rising due to the proliferation and success of bariatric surgery and liver transplant, as well as the improved detection of pancreatic and gastric neoplasms and their resultant surgical resection. Despite improved surgical technique, the inherent complication rate of these procedures as well as the baseline prevalence of stricture, stone, and the progression of unresected or metachronous malignancy, provide a challenge to the endoscopist when treating patients with surgically altered anatomy. This chapter will review the indications for and technical aspects associated with performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy.

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Authors and Affiliations

  1. Section of Gastroenterology, University of Washington Medical Center, 1959 NE Pacific Street, UW Box Number 356424, Seattle, WA, 98195, USA

    Adam Templeton M.D.

  2. Digestive Disease Institute, Virginia Mason Medical Center, 1100 9th Ave, Mailstop C3-GAS, Seattle, WA, 98101, USA

    Andrew Ross M.D.

Authors
  1. Adam Templeton M.D.
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Correspondence to Andrew Ross M.D. .

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Editors and Affiliations

  1. Virginia Mason Medical Center, Digestive Disease Institute, Seattle, Washington, USA

    Richard Kozarek

  2. and Hepatology, Mayo Clinic Division of Gastroenterology, Scottsdale, Arizona, USA

    Jonathan A. Leighton

Electronic Supplementary Material

Video 15.1

Transgastric access to biliary tree facilitated by laparoscopy in patient with Roux anatomy. Note contrast injection and unusual scope position

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Templeton, A., Ross, A. (2015). ERCP in Patients with Altered Anatomy. In: Kozarek, R., Leighton, J. (eds) Endoscopy in Small Bowel Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-14415-3_15

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  • DOI: https://doi.org/10.1007/978-3-319-14415-3_15

  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-14415-3

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