REVIEW   

Minerva Chirurgica 2019 August;74(4):326-33

DOI: 10.23736/S0026-4733.18.07929-4

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Endoscopic retrograde cholangiopancreatography in Roux-en-Y gastric bypass patients

Tom G. MOREELS ✉

Department of Gastroenterology and Hepatology, University Clinics Saint Luc, Brussels, Belgium

Roux-en-Y gastric bypass surgery remains a popular surgical intervention worldwide to treat morbid obesity. It is effective and relatively safe. However, one of the results related to bariatric surgery-induced rapid weight loss is the development of biliary stones. Endoscopic removal of common bile duct stones is challenging in patients with Roux-en-Y gastric bypass reconstruction. The current review highlights the different endoscopic approaches of the biliopancreatic system to perform endoscopic retrograde cholangiopancreatography in patients with Roux-en-Y gastric bypass. A treatment algorithm is provided based on clinical indications.

KEY WORDS: Gastric bypass; Cholangiopancreatography, endoscopic retrograde; Endosonography