ERCP after gastric resection – our experiences in 49 patients

Introduction: Gastric resection was a common operation before PPI era in pts with peptic ulcer. Performing ERCP in such a patient remained a challenging procedure, that presume some experience. Patients and methods: Between 2008 January and 2013 March we have performed 4888 ERCP interventions. We had 76 interventions (1.6%) in 49 pts (33 male, 16 female) with former gastric resection (8 pts with Billroth-I, 41 pts with Billroth-II). We used duodenoscope in 47 cases, duodenoscope and gastroscope in the same pts in 11 pts, and exclusively gastroscope in 18 pts. Results: In 8 pts with Billroth-I resection the indic…