Endoscopic retrograde cholangiopancreatography in patients with Roux-en-Y anatomy.
Bariatric surgery has been increasingly performed in response to the obesity pandemic. During the last decade, Roux-en-Y gastric bypass (RYGB) has become the preferred surgical approach. It is also commonly performed after pylorus preserving pancreaticoduodenectomy and other biliary tract surgeries. This article discusses the different options available for endoscopists who are faced with the need to perform endoscopic retrograde cholangiopancreatography in patients after Roux-en-Y reconstruction, with special emphasis on those after RYGB.
Lopes
Tercio L
TL
Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA. Lopes.Tercio@mayo.edu
Wilcox
C Mel
CM
D000713:Anastomosis, Roux-en-Y; D001662:Biliary Tract Surgical Procedures; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D020698:Duodenoscopes; D004384:Duodenoscopy; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D015390:Gastric Bypass; D005774:Gastrostomy; D006801:Humans; D007582:Jejunostomy; D010535:Laparoscopy; D009767:Obesity, Morbid / Q000453:epidemiology / Q000601:surgery; D011184:Postoperative Period