Abstract
Patients with history of Roux-en-Y gastric bypass (RYGB) surgery are not candidates for standard endoscopic retrograde cholangiopancreatography (ERCP) due to their surgically altered gastrointestinal anatomy. There are a number of alternative approaches in such patients including device-assisted ERCP, laparoscopy-assisted ERCP (LA-ERCP), endoscopic ultrasound-guided biliary drainage (EUS-BD), percutaneous transhepatic biliary drainage (PTBD) and surgical drainage. The aim of our study was to compare clinical outcomes in RYGB patients undergoing LA-ERCP versus PTBD for management of pancreatobiliary diseases.
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