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Peer-reviewedCC BY 4.0Annals of The Royal College of Surgeons of England

Laparoscopic-assisted ERCP is a safe procedure with good outcomes: experience from a single high-volume upper GI unit

  • L Kenny1
  • C Strong2
  • S Bonnington1
  • EJ Nevins1
  1. 1Northumbria Healthcare NHS Foundation Trust, UK
  2. 2South Tyneside and Sunderland NHS Foundation Trust, UK
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Abstract

Introduction: Patients who have undergone Roux-en-Y gastric bypass (RYGB) no longer have anatomy that is amenable to trans-oral endoscopic retrograde cholangio-pancreatogram (ERCP). Laparoscopic-assisted ERCP (LA-ERCP), which combines laparoscopic and endoscopic techniques to access the patient’s biliary tree, is a possible solution. Historically, there have been concerns about the safety and feasibility of this procedure. The aim of this case series is to explore the outcomes of LA-ERCP at a single high-volume centre.

Methods: This is a retrospective case series of all patients undergoing LA-ERCP at a single high-volume UK centre between 2015 and 2024.

Results: A total of 17 patients underwent 19 LA-ERCPs during the above time period. Of the 19 LA-ERCPs, 16 were completed successfully with no complications and the majority of patients were discharged home within four days post-procedure. This is the largest reported UK cohort of patients who have undergone LA-ERCP.

Conclusion: LA-ERCP is an effective, safe and viable option for patients who are unable to undergo trans-oral ERCP.

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Cite

BibTeXRIS
BibTeX
@article{kenny2026laparoscopicassisted,
  title = {{Laparoscopic-assisted ERCP is a safe procedure with good outcomes: experience from a single high-volume upper GI unit}},
  author = {L Kenny and C Strong and S Bonnington and EJ Nevins},
  journal = {Annals of The Royal College of Surgeons of England},
  year = {2026},
  month = jul,
  doi = {10.1308/rcsann.2026.0052},
  url = {https://doi.org/10.1308/rcsann.2026.0052},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Laparoscopic-assisted ERCP is a safe procedure with good outcomes: experience from a single high-volume upper GI unit
AU  - L Kenny
AU  - C Strong
AU  - S Bonnington
AU  - EJ Nevins
PY  - 2026
DA  - 2026/07/02
JO  - Annals of The Royal College of Surgeons of England
DO  - 10.1308/rcsann.2026.0052
UR  - https://doi.org/10.1308/rcsann.2026.0052
AB  - Introduction: Patients who have undergone Roux-en-Y gastric bypass (RYGB) no longer have anatomy that is amenable to trans-oral endoscopic retrograde cholangio-pancreatogram (ERCP). Laparoscopic-assisted ERCP (LA-ERCP), which combines laparoscopic and endoscopic techniques to access the patient’s biliary tree, is a possible solution. Historically, there have been concerns about the safety and feasibility of this procedure. The aim of this case series is to explore the outcomes of LA-ERCP at a single high-volume centre.  Methods: This is a retrospective case series of all patients undergoing LA-ERCP at a single high-volume UK centre between 2015 and 2024.  Results: A total of 17 patients underwent 19 LA-ERCPs during the above time period. Of the 19 LA-ERCPs, 16 were completed successfully with no complications and the majority of patients were discharged home within four days post-procedure. This is the largest reported UK cohort of patients who have undergone LA-ERCP.  Conclusion: LA-ERCP is an effective, safe and viable option for patients who are unable to undergo trans-oral ERCP.
SN  - 0035-8843
SN  - 1478-7083
ER  -