ERCP in patients with Roux-en-Y gastric bypass: spiral or short-type single-balloon endoscopy?

We read with interest the article by Ali et  al1 on spiral endoscopy-assisted ERCP (SE-ERCP) in patients with bariatric-length Roux-en-Y (RY) anatomy because of the impossibility of standard ERCP. They performed SE-ERCP in 31 patients (35 procedures) with bariatric RY gastric bypass (RYGB) (28 procedures) and other long-limb RY anatomy (7 pr ocedures), resulting in favorable outcomes (Table 1). Although they concluded that SE-ERCP is effective and safe in such patients, we believe that there is an effective alternative, with a short procedure time.

Source: Gastrointestinal Endoscopy - January 19, 2019 Category: Gastroenterology Authors: Mitsunobu Matsushita, Masaaki Shimatani, Kazuichi Okazaki Tags: Letter to the Editor Source Type: research