Safety and efficacy of LA-ERCP procedure following Roux-en-Y gastric bypass: a systematic review and meta-analysis

Saad, Baraa; Nasser, Maya; Matar, Reem; Nakanishi, Hayato; Tosovic, Danijel; Than, Christian A.; Taha‐Mehlitz, Stephanie; Taha, Anas

doi:10.1007/s00464-023-10276-7

Cited by 3 publications

(2 citation statements)

References 49 publications

(134 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall, our unique approach provides an alternative treatment modality for treating biliary pathology in patients with altered gut anatomy. Other standard approaches in this situation include deep enteroscopy with a single or double balloon technique, laparoscopic assisted ERCP, and the EDGE procedure, although these and other techniques also have inherent limitations (10,11) Deep enteroscopy with a single or double balloon approach can be used to access the papilla in a retrograde fashion. The success rate of single balloon enteroscopy is about 70% (12), and 74.1% for double balloon enteroscopy (13).…”

Section: Discussionmentioning

confidence: 99%

A Case Series of Patients with Altered Gut Anatomy Treated for Biliary Disease with Percutaneous Transhepatic Cholangioscopy with Lithotripsy

Chaudhary,

Faisal,

Ashraf

et al. 2024

Preprint

View full text Add to dashboard Cite

Background and Aims: Treating obstructive bile duct pathologies in individuals with altered bowel anatomy is challenging, since the physiological context may render endoscopic retrograde cholangiopancreatography (ERCP) difficult or unfeasible. Percutaneous transhepatic cholangiography (PTC) with drain placement can provide adequate drainage in this patient group, but it has limited therapeutic options. Methods: In this case series, we present 14 patients with altered bowel anatomy who underwent PTC drain placement followed by percutaneous cholangioscopy (PC) between January 2015 and May 2022 at a single institution. Results: Of the 14 patients, most common indication for PTC was choledocholithiasis in 13 (92.9%) patients and 8 (57.1%) of these patients exhibited cholangitis on initial presentation. The mean age was 66.4 years, and most were female (64.3%). All patients had altered anatomy, with Roux-en-Y gastric bypass being the most common (71.4%). There were 3 patients who had previous unsuccessful attempts at ERCP. Pre-procedural laboratory tests indicated elevated mean liver enzyme levels, and all cases of choledocholithiasis were successfully treated (92.9%). No complications were reported in any patients after a mean follow-up period of more than 2 years. Conclusions Cholangioscopy and lithotripsy via the PTC route may be a viable therapeutic option, with a high success rate and low risks, when ERCP is challenging or impossible due to patient’s altered gut anatomy.

show abstract

Section: Discussionmentioning

confidence: 99%

A Case Series of Patients with Altered Gut Anatomy Treated for Biliary Disease with Percutaneous Transhepatic Cholangioscopy with Lithotripsy

Chaudhary,

Faisal,

Ashraf

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…The main complications identified were pancreatitis (6.8%), infection (6.1%), bleeding (3.4%), and perforation (2.5%). The rate of conversion to open laparotomy was 7%[ 24 ].…”

Section: Role Of Laparoscopically Assisted Transgastric Ercpmentioning

confidence: 99%

Biliary complications associated with weight loss, cholelithiasis and choledocholithiasis

Ribeiro Jr,

Tebar,

Niero

et al. 2024

World J Gastrointest Pharmacol Ther

View full text Add to dashboard Cite

Biliary complications like cholelithiasis and choledocholithiasis are more common in bariatric surgery patients due to obesity and rapid weight loss. Patients with a body mass index > 40 face an eightfold risk of developing cholelithiasis. Post-bariatric surgery, especially after laparoscopic Roux-en-Y gastric bypass (LRYGB), 30% of patients develop biliary disease due to rapid weight loss. The aim of this review is to analyze the main biliary complications that occur after bariatric surgery and its management. A review of the literature was conducted mainly from 2010 up to 2023 with regard to biliary complications associated with bariatric patients in SciELO, PubMed, and MEDLINE. Patients undergoing LRYGB have a higher incidence (14.5%) of symptomatic calculi post-surgery compared to those undergoing laparoscopic sleeve gastrectomy at 4.1%. Key biliary complications within 6 to 12 months post-surgery include: Cholelithiasis: 36%; Biliary colic/dyskinesia: 3.86%; Acute cholecystitis: 0.98%-18.1%; Chronic cholecystitis: 70.2%; Choledocholithiasis: 0.2%-5.7% and Pancreatitis: 0.46%-9.4%. Surgeons need to be aware of these complications and consider surgical treatments based on patient symptoms to enhance their quality of life.

show abstract

Artificial intelligence-empowered assessment of bile duct stone removal challenges

Wang,

Yuan,

Lin

et al. 2024

Expert Systems with Applications

View full text Add to dashboard Cite

Safety and efficacy of LA-ERCP procedure following Roux-en-Y gastric bypass: a systematic review and meta-analysis

Cited by 3 publications

References 49 publications

A Case Series of Patients with Altered Gut Anatomy Treated for Biliary Disease with Percutaneous Transhepatic Cholangioscopy with Lithotripsy

A Case Series of Patients with Altered Gut Anatomy Treated for Biliary Disease with Percutaneous Transhepatic Cholangioscopy with Lithotripsy

Biliary complications associated with weight loss, cholelithiasis and choledocholithiasis

Artificial intelligence-empowered assessment of bile duct stone removal challenges

Contact Info

Product

Resources

About