Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA.
Gastroenterol Clin North Am. 2010 Mar;39(1):99-107. doi: 10.1016/j.gtc.2009.12.008.
Bariatric surgery has been increasingly performed in response to the obesity pandemic. During the last decade, Roux-en-Y gastric bypass (RYGB) has become the preferred surgical approach. It is also commonly performed after pylorus preserving pancreaticoduodenectomy and other biliary tract surgeries. This article discusses the different options available for endoscopists who are faced with the need to perform endoscopic retrograde cholangiopancreatography in patients after Roux-en-Y reconstruction, with special emphasis on those after RYGB.
减重手术在应对肥胖流行方面的应用日益增多。在过去十年中，Roux-en-Y 胃旁路术（RYGB）已成为首选的手术方法。它也常用于保留幽门的胰十二指肠切除术和其他胆道手术后。本文讨论了内镜医生在 Roux-en-Y 重建后需要进行内镜逆行胰胆管造影时的不同选择，特别强调了 RYGB 后的选择。
