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A member asked:
Been told on here that you can have an ercp if you have had a billroth 2 procedure & gallbladder removed years ago. my dr today told me that i cant have one. should i get a second opinion as i may have stones in my ducts & liver test gtt is 3x high?
2 doctors weighed in across 2 answers
It can be done with some difficulty due to altered anatomy post Billroth II. Please read this article from PubMed - https://pubmed.ncbi.nlm.nih.gov/31187782/
Answered 2/14/2023
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Although it may be possible to do an ERCP in a patient with a Billroth II anastomosis, the procedure is much more difficult and often requires referral to a tertiary care center specializing in difficult ERCP. It may also be possible to access the biliary duct by interventional radiology techniques. A second opinion may be necessary to find an ERCPist willing to attempt this. Good luck.
Answered 2/14/2023
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Related Questions
A member asked:
Just one doubt: During the ERCP to remove stones from bile ducts, does the doctor also get to see the normality or abnormality of the liver?
A doctor has provided 1 answer
A member asked:
I had my gall bladder removed and had an ERCP procedure where there was no stent placed but rather an incision widening the duct at the bottom. I recently had a urine test done for UTI and Urobilinogen level of 4mg/dl Could it be a biliary blockage?
2 doctors weighed in across 2 answers
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