title: Endoscopic retrograde cholangiopancreatography in the surgically modified gastrointestinal tract.
abstract: Endoscopic retrograde cholangiopancreatography (ERCP) in the patient with altered intestinal anatomy secondary to surgery presents significant challenges to the endoscopist. Navigating anastamoses, cannulation using a forward viewing endoscope in a retrograde position and use of specialized instruments encompass just a few of the unique issues which arise when attempting ERCP in patients with surgically altered anatomy. This article focuses on instruments, technique and a review of the published literature to date on performing ERCP in this group of patients.
authors: Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, USA. andrew.ross@vmmc.org
authors: Andrew S
authors: AS
authors: Ross
mesh_terms: D050110:Bariatric Surgery; D002404:Catheterization; D002760:Cholangiopancreatography, Endoscopic Retrograde; D013505:Digestive System Surgical Procedures; D041981:Gastrointestinal Tract / Q000601:surgery*; D006801:Humans