Have you come across a patient who had undergone a Roux-en-Y and requires cholangiopancreatography (ERCP)? How to deal with this challenging procedure? This article will provide brief insights regarding performing ERCP In Individuals With RYBG. Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y anatomy poses a major challenge to gastrointestinal endoscopic surgeons.
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. The high prevalence of gallstone disease in these patients also poses serious challenge. Roux-en-Y anatomy may also result from: Gastric resection surgery. Liver transplantation Pancreaticoduodenectomy Other biliary tract surgeries, such as the repair of bile duct injuries or as part of the treatment of…