pISSN 2636-0004eISSN 2636-0012
pISSN 2636-0004Problematic 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.