Technical Considerations in Laparoscopic-Assisted Endoscopic Retrograde Cholangiography

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 gastr...

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Bibliographic Details
Published in:The American surgeon 2024-09, Vol.90 (9), p.2305-2307
Main Authors: Mace, Eric H., Yachimski, Patrick S., Tan, Marcus C., Smith, Michael C.
Format: Article
Language:English
Subjects:
Abdomen
Adult
Bile ducts
Biopsy
Cholangiopancreatography, Endoscopic Retrograde - methods
Endoscopy
Female
Gastric bypass
Gastric Bypass - adverse effects
Gastric Bypass - methods
Humans
Laparoscopy
Laparoscopy - methods
Male
Middle Aged
Oropharynx
Ostomy
Pancreatitis
Small intestine
Stents
Stomach
Sutures
Therapeutic applications
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Description
Summary: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.
ISSN:0003-1348
1555-9823
1555-9823
DOI:10.1177/00031348241244651