ERCP in patients with jaboulay pyloroplasty

Endoscopic retrograde cholangiopancreatography (ERCP) is successfuly performed in a substantial percent of patients with surgically altered gastrointestinal and/or bilio-pancreatic anatomy using an appropriate endoscope and other instruments (1,2). Billroth II gastroenterostomy, Roux-en-Y hepaticojejunostomy, Whipple procedure, gastrojejunal bypass are the most commonly performed examples (Table 1). Access to the papilla must be through an afferent loop using a duodenoscope, gastro- scope, colonoscope, pediatric colonoscope or entero- scope (including balloon enteroscope) (1-7). Jaboulay pyloroplasty (JP) is a side-to-side antroduodenostomy anastomosis aimed to relieve gastric outlet obstruction that is infrequently performed currently (Fig. 1) (8). To our knowledge there is no data in the literature regarding the ERCP interventions in patients with JP. Herein we present our ERCP experience in patients with JP.