Abstract
ERCP in patients with surgically altered anatomy may pose substantial challenges resulting in failure. In cases of pancreaticoduodenectomy (Whipple) anatomy requiring ERCP, various types of endoscopes have been used. The invention of the 1T modified therapeutic upper endoscope offers several advantages in this setting, including a forward viewing camera, 3.7 mm channel and increased maneuverability compared to the alternatives. Here, we describe a case series of patients with pancreaticoduodenectomy anatomy requiring ERCP and a comparison of the endoscope options for ERCP in this setting.
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