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However comprehensive studies on problems of ERCP utilizing BAE (BAE-ERCP) have not been made. We examined the characteristics therefore the factors behind problems of ERCP utilizing DBE (DB-ERCP) procedures and directed to suggest effective managements. METHODS 1,576 treatments of DB-ERCP in 716 patients with surgically altered gastrointestinal physiology within our hospital had been evaluated retrospectively using a statistic evaluation. RESULTS The overall complication incident