Endoscopic retrograde cholangiopancreatography (ERCP) is often difficult to perform after gastrectomy. Recently some cases have been reported that used a multibending scope (M-Scope, GIF-2TQ260M, Olympus Corp., Tokyo, Japan). The M-Scope has two independent bending points that allow the duodenal papilla to be viewed in a suitable position for cannulation. The scope also has dual working channels that each can be manipulated independently. In this case, one channel of the scope was used to insert a guidewire into the pancreatic duct to hold the papilla, and the other channel was used to try to insert a catheter into the bile duct. As a result, this method allowed us to cannulate to the bile duct easily.
