Abstract
ERCP is the standard technique for dealing with pathology of the common bile duct, such as bile duct stones or strictures due to malignant or benign processes. However, ERCP in patients with surgically altered anatomy, such as Roux-en-Y gastric bypass (RYGBP), total gastrectomy, Billroth II procedure or Whipple procedure (Fig. 10.1), is challenging. Several more or less invasive methods have been described for endoscopic biliary interventions in these patients.
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References
Yamamoto H, et al. Total enteroscopy with a nonsurgical steerable double-balloon method. Gastrointest Endosc. 2001;53(2):216–20.
Inamdar S, et al. Systematic review and meta-analysis of single-balloon enteroscopy-assisted ERCP in patients with surgically altered GI anatomy. Gastrointest Endosc. 2015;82(1):9–19.
Schreiner MA, et al. Laparoscopy-assisted versus balloon enteroscopy-assisted ERCP in bariatric post-Roux-en-Y gastric bypass patients. Gastrointest Endosc. 2012;75(4):748–56.
Baron TH, et al. Novel approach to therapeutic ERCP after long-limb Roux-en-Y gastric bypass surgery using transgastric self-expandable metal stents: experimental outcomes and first human case study (with videos). Gastrointest Endosc. 2012;75(6):1258–63.
Pimentel RR, et al. Laparoscopy-assisted transgastrostomy ERCP after bariatric surgery: case report of a novel approach. Gastrointest Endosc. 2004;59(2):325–8.
Facchiano E, et al. Laparoscopy-assisted transgastric endoscopic retrograde cholangiopancreatography (ERCP) after Roux-en-Y gastric bypass: technical features. Obes Surg. 2015;25(2):373–6.
Artifon EL, Perez-Miranda M. EUS-guided choledochoduodenostomy for malignant distal biliary obstruction palliation: an article review. Endosc Ultrasound. 2012;1(1):2–7.
Gomez V, Topazian MD. EUS-guided therapy for obstructive jaundice through a gastric pouch in the setting of prior Roux-en-Y gastric bypass. Gastrointest Endosc. 2016;83(4):828–9.
Kedia P, et al. EUS-directed transgastric ERCP for Roux-en-Y gastric bypass anatomy: a minimally invasive approach. Gastrointest Endosc. 2015;82(3):560–5.
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Park, PO., Bergström, M. (2017). ERCP in Altered Anatomy. In: Conigliaro, R., Frazzoni, M. (eds) Diagnosis and Endoscopic Management of Digestive Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-42358-6_10
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DOI: https://doi.org/10.1007/978-3-319-42358-6_10
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