Technical Considerations in Laparoscopic-Assisted Endoscopic Retrograde Cholangiography

Author:

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

Affiliation:

1. Department of General Surgery, Vanderbilt University Medical Center, Nashville, TN, USA

2. Division of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, TN, USA

3. Division of Surgical Oncology, Vanderbilt University Medical Center, Nashville, TN, USA

4. Division of Acute Care Surgery, Vanderbilt University Medical Center, Nashville, TN, USA

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.

Publisher

SAGE Publications

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