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- W4220678181 abstract "Since the invention of endoscopic retrograde cholangioscopy (ERCP) in 1968, the procedure has continued to evolve and has become integral to modern management of pancreaticobiliary disease [1]. While ERCP is commonly performed, in patients with gastric or small bowel surgically altered anatomy (SAA), the procedure may pose substantial technical challenges, resulting in failure [2] [3] [4] [5] [6]. Common types of SAA posing unique challenges to ERCP include Billroth I gastrectomy, Billroth II gastrectomy, Roux-en-Y gastric bypass, and pancreaticoduodenectomy, also known as a Whipple procedure [2] [3] [4] [5] [6]. Anatomical challenges in ERCP for SAA are often associated with difficulties in intubation of the anastomosis, length of the biliopancreatic (afferent) limb, inability to cannulate the biliary tree through the anastomosis, lack of an elevator mechanism, or endoscope incompatibility with the required endoscopic accessories [2]." @default.
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- W4220678181 date "2022-03-04" @default.
- W4220678181 modified "2023-09-26" @default.
- W4220678181 title "Use of modified therapeutic upper endoscope for ERCP in patients post pancreaticoduodenectomy" @default.
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- W4220678181 doi "https://doi.org/10.1055/a-1789-0238" @default.
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