Laparoscopy-Assisted Transgastric Endoscopic Retrograde Cholangiopancreatography (ERCP) After Roux-en-Y Gastric Bypass: Technical Features

Facchiano, Enrico; Quartararo, Giovanni; Pavoni, Vittorio; Liscia, G; Naspetti, Riccardo; Sturiale, Alessandro; Lucchese, Marcello

doi:10.1007/s11695-014-1516-3

Cited by 30 publications

(13 citation statements)

References 17 publications

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“…In the presence of disorders in common hepatic ducts, it is almost impossible to perform endoscopic retrograde cholangiopancreatography (ERCP) following II-DSG. Conversely, in RYGB, it is possible to perform hand-assisted ERCP through the remnant gastric pouch [ 17 ], which is an advantage of L-RYGB with ileal transposition over II-DSG.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Roux-en-Y gastric bypass with ileal transposition - an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux.

Ersöz¹,

Düzköylü²,

Deniz³

et al. 2015

Videosurgery and Other Miniinvasive Techniques

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Currently, type 2 diabetes mellitus (T2DM) is considered as a gastrointestinal disease. Numerous studies have demonstrated that bariatric operations ameliorate T2DM significantly. The laparoscopic Roux-en-Y gastric bypass (L-RYGB) is considered as the gold standard procedure. We aimed to evaluate the feasibility and impact of L-RYGB with ileal transposition (or interposition) on diabetes resolution in a patient who has not benefited from any medical therapy, with its additional effect on the amelioration of gastroesophageal reflux disease. The patient was a 38-year-old diabetic woman with uncontrolled blood glucose despite medical treatment, with additional gastroesophageal reflux disease. Following the procedure, her biochemical parameters and reflux symptoms improved significantly within 10 months. We think that L-RYGB with ileal transposition may be easily employed to gain a maximum effect in diabetics with adverse prognosis. This technique may be an alternative in the treatment of type 2 diabetic patients with gastroesophageal reflux.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Roux-en-Y gastric bypass with ileal transposition - an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux.

Ersöz¹,

Düzköylü²,

Deniz³

et al. 2015

Videosurgery and Other Miniinvasive Techniques

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“…Some institutions have created algorithms to treat these patients that require complex multidisciplinary procedures. 46 …”

Section: Late Complicationsmentioning

confidence: 99%

Early and late complications of bariatric operation

Lim

Beekley

Johnson

et al. 2018

Trauma Surg Acute Care Open

132

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Weight loss surgery is one of the fastest growing segments of the surgical discipline. As with all medical procedures, postoperative complications will occur. Acute care surgeons need to be familiar with the common problems and their management. Although general surgical principles generally apply, diagnoses specific to the various bariatric operations must be considered. There are anatomic considerations which alter management priorities and options for these patients in many instances. These problems present both early or late in the postoperative course. Bariatric operations, in many instances, result in permanent alteration of a patient’s anatomy, which can lead to complications at any time during the course of a patient’s life. Acute care surgeons diagnosing surgical emergencies in postbariatric operation patients must be familiar with the type of surgery performed, as well as the common postbariatric surgical emergencies. In addition, surgeons must not overlook the common causes of an acute surgical abdomen—acute appendicitis, acute diverticulitis, acute pancreatitis, and gallstone disease—for these are still among the most common etiologies of abdominal pathology in these patients.

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“…In this setting, some authors propose the direct insertion of the 15 mm-trocar into the excluded stomach. This will allow an easy and direct passage of the duodenoscope into the gastric remnant and may reduce the peritoneal contamination (9). On the other hand, mucosal lacerations have been described (6).…”

Section: Discussionmentioning

confidence: 99%

“…Thus, various alternative therapeutic options to reach the common bile duct (CBD) have been proposed: a) balloon enteroscopy-assisted ERCP (3); b) percutaneous transhepatic cholangiography procedure (4); c) EUS-directed transgastric ERCP (5); and d) laparoscopy-assisted transgastric ERCP (6)(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic transgastric ERCP in bariatric surgery patients: our experience

et al. 2017

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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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Laparoscopy-Assisted Transgastric Endoscopic Retrograde Cholangiopancreatography (ERCP) After Roux-en-Y Gastric Bypass: Technical Features

Cited by 30 publications

References 17 publications

Laparoscopic Roux-en-Y gastric bypass with ileal transposition - an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux.

Laparoscopic Roux-en-Y gastric bypass with ileal transposition - an alternative surgical treatment for type 2 diabetes mellitus and gastroesophageal reflux.

Early and late complications of bariatric operation

Laparoscopic transgastric ERCP in bariatric surgery patients: our experience

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