2017
DOI: 10.17235/reed.2017.4933/2017
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Laparoscopic transgastric ERCP in bariatric surgery patients: our experience

Abstract: Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the surgical treatment of choice for morbid obesity. Several therapeutic options to remove common bile duct (CBD) stones have been proposed in these patients. Laparoscopy-assisted transgastric ERCP (LATERCP) has a high success rate. However, the procedure is not fully standardized and some technical variations have been proposed.We introduce two cases in which laparoscopic transgastric ERCP has been used to treat choledocholithiasis after LRYGB.

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Cited by 3 publications
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“…A duodenoscope can then be advanced through the laparoscopic port and an ERCP can then be completed. 73 A side-viewing duodenoscope is considered optimal given the medial orientation of the ampulla. 74 Other methods of accessing the ampulla have been described, such as a double balloon enteroscopy to access the excluded stomach in RYGB patients and this may facilitate the use of ERCP in such patients.…”
Section: Specific Complications Following Bariatric Surgerymentioning
confidence: 99%
“…A duodenoscope can then be advanced through the laparoscopic port and an ERCP can then be completed. 73 A side-viewing duodenoscope is considered optimal given the medial orientation of the ampulla. 74 Other methods of accessing the ampulla have been described, such as a double balloon enteroscopy to access the excluded stomach in RYGB patients and this may facilitate the use of ERCP in such patients.…”
Section: Specific Complications Following Bariatric Surgerymentioning
confidence: 99%