Atlas of Gastroenterological Endoscopy
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EPT after gastric surgery (Billroth II)
EPT in BII-stomach EPT in BII-stomach
Since the papilla can only be reached located upside down in the afferent loop, a specially designed papillotoma is required. The wire of this papillotoma is cutting downwards (arrow). The right pictures shows a recent EPT reaching the roof of the papilla in the lower parts of the picture.