ERCP in patient with altered Upper GI anatomy. Bariatric surgery. 75 million Americans are obese, BMI > 30 15 million are morbidly obese, BMI >40 Total economic cost $147 this year, and rising 200,000 bariatric surgeries performed in 2012 1-2% are on patients less than 21 years old
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Rapid wt loss is a risk factor for gallstone formation.