Approaches to Pancreaticobiliary Endoscopy in Roux-en-Y Gastric Bypass Anatomy.
EUS-directed transgastric ERCP
Endoscopic retrograde cholangiopancreatography
Lumen-apposing metal stent
Roux-en-Y gastric bypass
Journal
Gastrointestinal endoscopy clinics of North America
ISSN: 1558-1950
Titre abrégé: Gastrointest Endosc Clin N Am
Pays: United States
ID NLM: 9202792
Informations de publication
Date de publication:
Jul 2024
Jul 2024
Historique:
medline:
26
5
2024
pubmed:
26
5
2024
entrez:
25
5
2024
Statut:
ppublish
Résumé
The increasing prevalence of bariatric surgery, particularly Roux-en-Y gastric bypass, has necessitated innovative approaches for endoscopic retrograde cholangiopancreatography (ERCP) due to the altered anatomy. Laparoscopy-assisted ERCP offers high success rates but leads to extended hospital stays and an increased risk of adverse events. Enteroscopy-assisted ERCP encounters technical challenges, resulting in lower success rates. A novel technique, endoscopic ultrasound-directed transgastric ERCP, employs a lumen-apposing metal stent to create a fistula connecting the gastric pouch to the excluded stomach, enabling ERCP and other endoscopic procedures. Common adverse events include perforation, stent migration, bleeding, and fistula persistence.
Identifiants
pubmed: 38796293
pii: S1052-5157(24)00021-7
doi: 10.1016/j.giec.2024.02.009
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
475-486Informations de copyright
Copyright © 2024 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure K. Elfert has no conflict of interest to disclose. M. Kahaleh has received grant support from Boston Scientific, Fujinon, Apollo Endosurgery, Cook Endoscopy, Olympus, and MI Tech. He is a consultant for Boston Scientific, ABBvie. None of those fundings were related to this study.