Objectives: Describe the indications, technique, and success rates for Laparoscopic-assisted Endoscopic Retrograde Cholangiopancreatogram (ERCP).
Methods: A review of the literature was performed to describe the common indications for imaging of the biliary system in surgically-altered anatomy. A majority of the data is drawn from experiences in patients with choledocholithiasis following bariatric surgery.
Results: Laparoscopic-assisted endoscopic retrograde cholangiopancreatogram (ERCP) has a high technical and therapeutic success rate (98.5–100% and 97.5–99%, respectively). It requires the coordination of both the surgical and endoscopy teams and is associated with long procedural time (134–180 minutes). Complication rate ranges from 0–30% but most of them minor and self-limiting.
Conclusion: Laparoscopic-assisted Endoscopic Retrograde Cholangiopancreatogram (ERCP) can be technically and logistically challenging but has a high technical success rate. Complications occur but are seldom of significant clinical consequence.
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