Laparoscopy-assisted ERCP in Patients With Altered Gastric Anatome

Prospective Evaluation of the Clinical Utility of Laparoscopy-assisted ERCP in Patients With Altered Gastric Anatomy

The purpose of this research study is to collect data on the technical aspects of Lasparoscopy-assisted ERCP and patient outcomes to help guide future medical care of patients with Roux-en-Y gastric bypass surgery.

Patients would have had a Roux-en-Y gastric bypass in the past that had altered their gastric anatomy. Now they have developed bilary and/or pancreatic problems that require and ERCP. With their altered gastric anatomy a standard ERCP would not be possible. Thus they are scheduled for a Laparoscopy-assisted ERCP.

Inclusion Criteria:

• Age 18 years and older
• Altered gastric anatomy
• Scheduled to undergo laparoscopy-assisted ERCP

Exclusion Criteria:

• Any contraindications to performing endoscopy
• Participation in another research protocol that could interfere or influence the outcomes measures of the present study.
• The subject is unable/unwilling to give informed consent