Lopes, Tercio

AbstractIntroductionRoux‐en‐Y gastric bypass is increasingly performed in the United States. In addition, liver transplantation and other complex hepatobiliary surgeries are increasingly performed with creation of a Roux‐en‐Y hepaticojejunostomy. Consequently, endoscopists more frequently need to carry out endoscopic procedures in patients with Roux‐en‐Y anatomy.Materials and methodsThe present article discusses the techniques and instruments available to therapeutic endoscopists who are faced with the challenge of performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with long‐ or short‐limb Roux‐en‐Y anatomy.ConclusionEndoscopists can successfully perform ERCP in patients with Roux‐en‐Y anatomy by making use of appropriate techniques and instruments.