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
Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

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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Dr. Andrew Seibert answered

Specializes in Gastroenterology

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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