Accessing the Pancreatobiliary Limb and ERCP in the Bariatric Patient

Mouen A. Khashab; Patrick I. Okolo

doi:10.1016/j.giec.2011.02.003

Accessing the Pancreatobiliary Limb and ERCP in the Bariatric Patient

Mouen A. Khashab, Patrick I. Okolo

School of Medicine

Research output: Contribution to journal › Review article › peer-review

16 Scopus citations

Abstract

The Roux-en-Y gastric bypass (RYGB) accounts for more than 60% of bariatric procedures performed in the United States today. The RYGB anatomy poses particular challenges to interventional endoscopists who intend to access the papilla. Deep enteroscopy-assisted endoscopic retrograde cholangiopancreatography seems to be the least invasive technique for this purpose, and is often the best initial choice. However, considerable experience is needed to optimize the success rate of reaching the biliopancreatic limb, with subsequent successful cannulation, and which approach is taken should be determined on a case-by-case basis.

Original language	English (US)
Pages (from-to)	305-313
Number of pages	9
Journal	Gastrointestinal Endoscopy Clinics of North America
Volume	21
Issue number	2
DOIs	https://doi.org/10.1016/j.giec.2011.02.003
State	Published - Apr 2011

Keywords

Double-balloon enteroscopy (DBE)
Endoscopic retrograde cholangiopancreatography (ERCP)
Roux-en-Y gastric bypass (RYGB)
Single-balloon enteroscopy (SBE)
Spiral enteroscopy (SE)

ASJC Scopus subject areas

Gastroenterology

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10.1016/j.giec.2011.02.003

Cite this

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title = "Accessing the Pancreatobiliary Limb and ERCP in the Bariatric Patient",

abstract = "The Roux-en-Y gastric bypass (RYGB) accounts for more than 60% of bariatric procedures performed in the United States today. The RYGB anatomy poses particular challenges to interventional endoscopists who intend to access the papilla. Deep enteroscopy-assisted endoscopic retrograde cholangiopancreatography seems to be the least invasive technique for this purpose, and is often the best initial choice. However, considerable experience is needed to optimize the success rate of reaching the biliopancreatic limb, with subsequent successful cannulation, and which approach is taken should be determined on a case-by-case basis.",

keywords = "Double-balloon enteroscopy (DBE), Endoscopic retrograde cholangiopancreatography (ERCP), Roux-en-Y gastric bypass (RYGB), Single-balloon enteroscopy (SBE), Spiral enteroscopy (SE)",

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AU - Okolo, Patrick I.

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AB - The Roux-en-Y gastric bypass (RYGB) accounts for more than 60% of bariatric procedures performed in the United States today. The RYGB anatomy poses particular challenges to interventional endoscopists who intend to access the papilla. Deep enteroscopy-assisted endoscopic retrograde cholangiopancreatography seems to be the least invasive technique for this purpose, and is often the best initial choice. However, considerable experience is needed to optimize the success rate of reaching the biliopancreatic limb, with subsequent successful cannulation, and which approach is taken should be determined on a case-by-case basis.

KW - Double-balloon enteroscopy (DBE)

KW - Endoscopic retrograde cholangiopancreatography (ERCP)

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KW - Single-balloon enteroscopy (SBE)

KW - Spiral enteroscopy (SE)

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Accessing the Pancreatobiliary Limb and ERCP in the Bariatric Patient

Abstract

Keywords

ASJC Scopus subject areas

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