2007
DOI: 10.1007/s11695-007-9026-1
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Laparoscopy-Assisted ERCP after Biliopancreatic Diversion

Abstract: Therapeutic biliary endoscopy after biliopancreatic diversion (BPD) for morbid obesity is not possible through the anatomical route. In the case of a long excluded afferent limb, the possibility to reach endoscopically the papilla through a surgical gastrostomy or jejunostomy has been reported. A case of laparoscopy-assisted ERCP performed 4 years after laparoscopic BPD with distal gastrectomy, is reported. Access to the papilla was obtained laparoscopically by enterotomy, insertion of a trocar into a jejunal … Show more

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Cited by 35 publications
(16 citation statements)
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“…Others have suggested routine cholecystectomy only for patients with biliary symptoms or those with documented evidence of gallstones during preoperative ultrasonography. The last approach is removing the gallbladder only in patients with clinical biliary symptoms, without performing preoperative ultrasonography in asymptomatic patients [15,16].…”
Section: Discussionmentioning
confidence: 99%
“…Others have suggested routine cholecystectomy only for patients with biliary symptoms or those with documented evidence of gallstones during preoperative ultrasonography. The last approach is removing the gallbladder only in patients with clinical biliary symptoms, without performing preoperative ultrasonography in asymptomatic patients [15,16].…”
Section: Discussionmentioning
confidence: 99%
“…Due to the current development of laparoscopy, in those cases where it is required to perform an ERCP and it cannot be done orally because a gastrectomy has been performed to the patient, depending on the type of surgery performed, it can be done using a transgastric approach (2-6) or through the jejunum (7,8), with a high level of safety and efficacy.…”
Section: Discussionmentioning
confidence: 99%
“…In such cases, biliary disease is usually managed by a percutaneous approach. On the other hand, a successful access to the papilla has been obtained as well laparoscopically by jejunostomy [10].…”
Section: Discussionmentioning
confidence: 99%