Video Tip: ERCP in Patients with Altered Anatomy | June 2023-ERCP in patients with altered anatomy

ERCP in patients with altered anatomy

Video Transcription

Video Summary

This video tip, sponsored by Braintree, discusses various approaches to perform a cholecystectomy in patients who have undergone Roux-en-Y gastric bypass surgery. One option is to have a laparoscopic surgeon insert a 15mm lap port to perform a standard ERCP in the operating room. Another option is using enteroscopic ERC, which may have a 50% failure rate. If enteroscopic ERC fails, a radiologist can insert a small sheath and a biliary guide wire which can be removed easily after the procedure. Additionally, EUS guided biliary access and drainage procedures are discussed, and Ashley will demonstrate this expertise.

Keywords

cholecystectomy

laparoscopic surgeon

ERCP

enteroscopic ERC

EUS guided biliary access