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. 2024 Sep;90(9):2305-2307.
doi: 10.1177/00031348241244651. Epub 2024 Apr 8.

Technical Considerations in Laparoscopic-Assisted Endoscopic Retrograde Cholangiography

Eric H Mace  1 , Patrick S Yachimski  2 , Marcus C Tan  3 , Michael C Smith  4
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Free article

Technical Considerations in Laparoscopic-Assisted Endoscopic Retrograde Cholangiography

Eric H Mace et al. Am Surg. 2024 Sep.
Free article

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.

Keywords: Roux-en-Y; endoscopic retrograde cholangiography; endoscopy; gastric bypass; laparoscopic-assisted endoscopic retrograde cholangiography.

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Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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