Altered anatomy: enteroscopy and ERCP procedure

Moreels, Tom
(2012) Bailliere’s Best Practice & Research: Clinical Gastroenterology — Vol. 26, n° 3, p. 347-357 (2012)

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Abstract
Roux-en-Y entero-enteric anastomosis of the small bowel is a commonly used surgical technique. However, it excludes the afferent limb and the biliopancreatic system from conventional endoscopic access. Recent data have shown that device-assisted enteroscopy (DAE) allows endoscopic retrograde cholangiopancreatography (ERCP) in these patients with high success rates. Both Double-balloon, short Double-balloon, Single-balloon and Spiral enteroscopy can be used for DAE-ERCP with comparable success. This review highlights the currently available literature data on DAE-ERCP in patients with Roux-en-Y anastomosis, and discusses the clinical aspects and technical difficulties. Although DAE does increase ERCP efficacy in patients with Roux-en-Y anastomosis, it remains a challenging procedure which is open to further improvement.
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Moreels, T. (2012). Altered anatomy: enteroscopy and ERCP procedure. Bailliere’s Best Practice & Research: Clinical Gastroenterology, 26(3), 347-357. https://doi.org/10.1016/j.bpg.2012.03.003 (Original work published 2012)