Abstract
ERCP in the Roux-en-Y gastric bypass (RYGB) patient is arduous with low success rates. Device-assisted enteroscopy has been reported to improve success, although failure to reach the papilla is frequent and cannulation is challenging with a forward-viewing endoscope. Single-session transgastric ERCP has also been described, but similarly relies on the success of device-assisted enteroscopy to reach the remnant, and is time-consuming.
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