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Endoscopic retrograde cholangiopancreatography in patients with Roux-en-Y anatomy
1Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street S.W, Charlton 8A, Rochester, MN 55905, USA.
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.
