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ERCP in patients with Roux-en-Y anatomy

INTRODUCTION

Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y anatomy poses a major challenge to gastrointestinal endoscopists. In the current era of the obesity epidemic, this situation is encountered with increasing frequency due to the popularity of Roux-en-Y gastric bypass (RYGB) surgery (figure 1) and the high prevalence of gallstone disease in these patients [1-3]. (See "Bariatric surgical operations for the management of severe obesity: Descriptions", section on 'Roux-en-Y gastric bypass'.)

Roux-en-Y anatomy may also result from:

Gastric resection surgery (figure 2 and figure 3) (see "Partial gastrectomy and gastrointestinal reconstruction" and "Total gastrectomy and gastrointestinal reconstruction")

Pancreaticoduodenectomy (figure 4 and figure 5 and figure 6) (see "Surgical resection of lesions of the head of the pancreas" and "Surgical resection of lesions of the body and tail of the pancreas")

Liver transplantation (see "Living donor liver transplantation", section on 'Surgical techniques and recipient outcomes')

               

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Literature review current through: Jul 2014. | This topic last updated: Nov 15, 2013.
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References
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