What Is the Best ERCP Approach in Patients with Roux-en-Y Gastric Bypass?

Endoscopic ultrasound–guided gastrogastrostomy ERCP was superior to enteroscopy-assisted ERCP in a first head-to-head comparison in this patient population.

Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y gastric bypass requiring pancreaticobiliary intervention remains a challenge. Two nonsurgical options are enteroscopy-assisted ERCP (e-ERCP) and endoscopic ultrasound (EUS)–guided gastrogastrostomy (EUS-GG-ERCP), though both are complex and require special tools and endoscopist skills. In the current multicenter, retrospective study, investigators compared procedural outcomes and adverse events between the two procedures in 60 patients with Roux-en-Y gastric bypass.

Technical success was significantly higher with EUS-GG-ERCP versus e-ERCP (100% vs. 60%). Procedure time was significantly shorter in patients who underwent EUS-GG-ERCP (50 min vs. 91 min)…

Reviewing Author

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

What Is the Best ERCP Approach in Patients with Roux-en-Y Gastric Bypass?

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Reviewing Author