Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 11 , ISSUE 3 ( September-December, 2022 ) > List of Articles

REVIEW ARTICLE

Laparoscopic-assisted Endoscopic Retrograde Cholangiopancreatogram (ERCP)

Andrew J Kamien

Keywords : Altered anatomy, LA-ERCP, Y de Roux.

Citation Information : Kamien AJ. Laparoscopic-assisted Endoscopic Retrograde Cholangiopancreatogram (ERCP). Panam J Trauma Crit Care Emerg Surg 2022; 11 (3):151-155.

DOI: 10.5005/jp-journals-10030-1400

License: CC BY-NC 4.0

Published Online: 31-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

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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