Biliary drainage in patients with altered anatomy: Literature review of different endoscopic approaches

doi:10.3748/wjg.v32.i2.113071

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Jan 14, 2026; 32(2): 113071
Published online Jan 14, 2026. doi: 10.3748/wjg.v32.i2.113071

Table 3 Biliary drainage strategies in patients with surgically altered anatomy

Type of anatomy	Preferred approach	Indicated instruments	Alternative approaches
Billroth II gastrectomy	ERCP with forward-viewing scope	Operative gastroscope, pediatric colonoscope	EUS-rendezvous
Roux-en-Y gastric bypass	EUS-BD (EDGE)	EUS endoscope, LAMS stent	PTBD, surgical drainage, LA-ERCP
Post-Whipple and bilioenteric anastomoses	DAE-ERCP	SBE, DBE	EUS-rendezvous, EUS-BD, PTBD

ERCP: Endoscopic retrograde cholangiopancreatography; EUS-BD: Endoscopic ultrasound-guided biliary drainage; EDGE: Endoscopic ultrasound directed transgastric endoscopic retrograde cholangiopancreatography; EUS: Endoscopic ultrasound; PTBD: Percutaneous transhepatic biliary drainage; LAMS: Lumen-apposing metal stent; LA-ERCP: Laparoscopic-assisted endoscopic retrograde cholangiopancreatography; DAE: Device-assisted enteroscopy; SBE: Single-balloon enteroscopy; DBE: Double-balloon enteroscopy.

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Citation: Cocca S, Casoni Pattacini G, Grova A, Esposito S, Lupo M, Ferrante M, Grande G, Guidotti C, Pigò F, Li Cavoli TV, Mussetto A, Piccoli M, Conigliaro R, Bertani H. Biliary drainage in patients with altered anatomy: Literature review of different endoscopic approaches. World J Gastroenterol 2026; 32(2): 113071
URL: https://www.wjgnet.com/1007-9327/full/v32/i2/113071.htm
DOI: https://dx.doi.org/10.3748/wjg.v32.i2.113071

Cocca S, Casoni Pattacini G, Grova A, Esposito S, Lupo M, Ferrante M, Grande G, Guidotti C, Pigò F, Li Cavoli TV, Mussetto A, Piccoli M, Conigliaro R, Bertani H. Biliary drainage in patients with altered anatomy: Literature review of different endoscopic approaches. World J Gastroenterol 2026; 32(2): 113071 [PMID: 41551827 DOI: 10.3748/wjg.v32.i2.113071]

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