Endoscopic technique resolves small bowel perforation in a patient with surgically altered anatomy, highlighting ERCP challenges.
Endoscopic retrograde cholangiopancreatography (ERCP) of surgically altered gastrointestinal anatomy (SAA) remains technically challenging. ERCP perforation rates in SAA are 2–5% [1]. Endoscopists should familiarize themselves with troubleshooting techniques to effectively manage these complications.
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