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Review
. 2016 Nov;49(6):506-509.
doi: 10.5946/ce.2016.124. Epub 2016 Nov 29.

Endoscopic Retrograde Cholangiopancreatography in Post Gastrectomy Patients

Chang-Hwan Park  1
Affiliations
Review

Endoscopic Retrograde Cholangiopancreatography in Post Gastrectomy Patients

Chang-Hwan Park. Clin Endosc. 2016 Nov.

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) in post-gastrectomy patients with Billroth II (BII) reconstruction and Roux-en-Y (RY) reconstruction presents a challenge to therapeutic endoscopists. Major difficulties, including intubation to the ampulla of Vater, selective cannulation, and ampullary intervention, must be overcome in these patients. Recent data have shown that device-assisted ERCP allows for high success rates in these patients because various devices are useful for overcoming major difficulties. Therefore, good knowledge of postoperative anatomy and various devices is mandatory before performing ERCP procedures for post-gastrectomy patients.

Keywords: Billroth II reconstruction; Cholangiopancreatography, endoscopic retrograde; Roux-en-Y reconstruction.

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Conflict of interest statement

The author has no financial conflicts of interest.

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