ERCP is challenging in patients with RYGB anatomy, with cannulation rates of enteroscopy-assisted ERCP (e-ERCP) reported at 40-70%. EUS-guided gastrogastric (GG) fistula creation is a promising novel technique to access the excluded stomach in order to facilitate conventional ERCP. While EUS-GG-ERCP potentially offers multiple advantages in these patients, it is currently unknown how this approach compares to e-ERCP.
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© 2017 Published by Elsevier Inc.