PMID- 37690929
OWN - NLM
STAT- MEDLINE
DCOM- 20231222
LR  - 20240102
IS  - 1878-7533 (Electronic)
IS  - 1550-7289 (Linking)
VI  - 20
IP  - 1
DP  - 2024 Jan
TI  - Endoscopic retrograde cholangiopancreatography (ERCP) approach for patients with 
      Roux-en-Y gastric bypass: a comparative study between four ERCP techniques with 
      proposed management algorithm.
PG  - 53-61
LID - S1550-7289(23)00626-3 [pii]
LID - 10.1016/j.soard.2023.08.005 [doi]
AB  - BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is technically 
      challenging in patients with Roux-en-Y gastric bypass (RYGB) due to altered 
      anatomy. OBJECTIVE: To compare the procedural and clinical outcomes of 4 
      different ERCP techniques in RYGB patients. SETTING: Academic tertiary referral 
      center in the United States. METHODS: A retrospective cohort study including 
      patients with RYGB anatomy who underwent an ERCP between January 2015 and 
      September 2020. We compared procedural success and adverse events (AEs) rates of 
      balloon-assisted enteroscopy (BAE), gastrostomy-assisted ERCP (GAE), endoscopic 
      ultrasound (EUS)-directed transgastric ERCP (EDGE), and rendezvous 
      guidewire-assisted ERCP (RGA). RESULTS: Seventy-eight RYGB patients underwent a 
      total of 132 ERCPs. The mean age was 60 +/- 11.8 years, with female predominance 
      (85.7%). The ERCP procedures performed were BAE (n = 64; 48.5%), GAE (n = 18; 
      13.7%), EDGE (n = 25; 18.9%), and RGA (n = 25; 18.9%), with overall procedure 
      success rates of 64.1%, 100%, 89.5%, and 91.7%, respectively. All approaches were 
      superior to BAE (GAE versus BAE, P = .003; EDGE versus BAE, P = .034; RGA versus 
      BAE, P = .011). The overall AE rates were 10.9%, 11.1%, 15.8 %, and 25.0%, 
      respectively. There was no statistical difference in AEs. There were also no 
      differences in bleeding, post-ERCP pancreatitis, and perforation rates between 
      the 4 approaches. CONCLUSION: Procedure success was similar between GAE, RGA, and 
      EDGE, but superior to BAE. AE rates were similar between approaches.
CI  - Copyright (c) 2024 American Society for Metabolic and Bariatric Surgery. Published 
      by Elsevier Inc. All rights reserved.
FAU - Ghazi, Rabih
AU  - Ghazi R
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota; 
      Division of Internal Medicine, Cooper University Hospital, Camden, New Jersey.
FAU - Razzak, Farah Abdul
AU  - Razzak FA
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
FAU - Kerbage, Anthony
AU  - Kerbage A
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
FAU - Brunaldi, Vitor
AU  - Brunaldi V
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota; 
      Department of Gastroenterology, University of Sao Paulo Medical School, Sao 
      Paulo, Brazil.
FAU - Storm, Andrew C
AU  - Storm AC
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
FAU - Vargas, Eric J
AU  - Vargas EJ
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
FAU - Bofill-Garcia, Aliana
AU  - Bofill-Garcia A
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
FAU - Chandrasekhara, Vinay
AU  - Chandrasekhara V
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
FAU - Law, Ryan J
AU  - Law RJ
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
FAU - Martin, John A
AU  - Martin JA
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
FAU - Ghanem, Omar M
AU  - Ghanem OM
AD  - Department of Surgery, Mayo Clinic, Rochester, Minnesota.
FAU - Petersen, Bret T
AU  - Petersen BT
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
FAU - Abu Dayyeh, Barham K
AU  - Abu Dayyeh BK
AD  - Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. 
      Electronic address: abudayyeh.barham@mayo.edu.
LA  - eng
PT  - Journal Article
DEP - 20230813
PL  - United States
TA  - Surg Obes Relat Dis
JT  - Surgery for obesity and related diseases : official journal of the American 
      Society for Bariatric Surgery
JID - 101233161
SB  - IM
MH  - Humans
MH  - Female
MH  - Middle Aged
MH  - Aged
MH  - Male
MH  - *Cholangiopancreatography, Endoscopic Retrograde/methods
MH  - Retrospective Studies
MH  - *Gastric Bypass/adverse effects/methods
MH  - Endosonography/methods
MH  - Algorithms
OTO - NOTNLM
OT  - Bariatric surgery
OT  - Choledocholithiasis
OT  - ERCP
OT  - Endoscopic ultrasound
OT  - Roux-en-Y gastric bypass
EDAT- 2023/09/11 00:42
MHDA- 2023/12/22 06:42
CRDT- 2023/09/10 22:01
PHST- 2023/02/23 00:00 [received]
PHST- 2023/07/10 00:00 [revised]
PHST- 2023/08/05 00:00 [accepted]
PHST- 2023/12/22 06:42 [medline]
PHST- 2023/09/11 00:42 [pubmed]
PHST- 2023/09/10 22:01 [entrez]
AID - S1550-7289(23)00626-3 [pii]
AID - 10.1016/j.soard.2023.08.005 [doi]
PST - ppublish
SO  - Surg Obes Relat Dis. 2024 Jan;20(1):53-61. doi: 10.1016/j.soard.2023.08.005. Epub 
      2023 Aug 13.