Accès à l'estomac exclu après by-pass gastrique : expérience d'un centre expert dépourvu de plateau technique permettant la cholangiopancréaticographie rétrograde endoscopique

If access to excluded structures and simultaneous ERCP was not possible, temporary laparoscopic Janeway gastrostomy could be the last option alternative for a staged ERCP to gain access to the bypassed structures. It is a feasible and safe solution for the exploration and treatment of patients with a history of RYGBP in bariatric centers that have no endoscopists with expertise in ERCP.