Table 10.
Summarized efficacy of endoscopic retrograde cholangiopancreatography methods in surgically altered anatomy
DAE-assisted ERCP | EUS-guided biliary access | Laparoscopic-assisted ERCP | |
Cholangiography success rate | 70%-90% | 95%-100% | 95%-100% |
Invasiveness | Minimal | Moderate | High |
Skill requirement | Moderate | High | Moderate Cooperate with surgeon |
Complication rate | 0%-20% | 10%-20% | 0%-10% |
Bile duct stone removal | |||
Small stones | Easy | Easy | Easy |
Large stones | Easy | Fair | Easy |
Malignant stenosis drainage | Fair | Easy | Fair |
DAE: Device-assisted enteroscope; EUS: Endoscopic ultrasonography; ERCP: Endoscopic retrograde cholangiopancreatography.