pISSN 2636-0004
eISSN 2636-0012

Table. 1.

Problematic Surgically Altered Anatomy and Choosing Initial Endoscope for Endoscopic Retrograde Cholangiopancreatography

Operation name Gastric state Intact papilla Initial endoscope
Afferent/efferent gastrojejunostomy
Billroth II gastrojejunostomy, short-limb/long-limb Subtotal G + Side- or forward-viewing endoscope/BE
Classic/Pylorus-preserving Whipple operation Subtotal G/Intact BE
Short-limb Roux-en-Y (< 50 cm)
Gastrectomy with Roux-en-Y Subtotal G/Total G + BE
Classic/Pylorus-preserving Whipple with Roux-en-Y Subtotal G/Intact BE
Biliary diversion with Roux-en-Y Intact BE
Long-limb Roux-en-Y (Bariatric surgery, > 100 cm)
Roux-en-Y gastric bypass Gastric pouch + BE
Biliopancreatic diversion/Duodenal switch Gastric pouch + BE

Subtotal G, subtotal gastrectomy; Total G, total gastrectomy; BE, balloon enteroscope.

Int J Gastrointest Interv 2021;10:106~113 https://doi.org/10.18528/ijgii210038
© Int J Gastrointest Interv