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Technical Considerations in Laparoscopic-Assisted Endoscopic Retrograde Cholangiography
Eric H Mace1, Patrick S Yachimski2, Marcus C Tan3
1Department of General Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Abstract:
The use of endoscopic retrograde cholangiography (ERCP) for diagnostic and therapeutic interventions on the pancreaticobiliary system has steadily increased, but the standard approach through the oropharynx is prohibited after Roux-en-Y (RYGB) gastric bypass surgery. Laparoscopic access to the gastric remnant allows for the completion of ERCP using the standard side-viewing duodenoscope to facilitate the completion of standard and advanced endoscopic maneuvers. Here, we describe our experience with the technical aspects of safe and effective performance of laparoscopic-assisted ERCP.
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