Management of Common Bile Duct Stone Late after Laparoscopic Roux-en-Y Gastric Bypass for Obesity

Malherbe, V.; Badaoui, Abdenor; Huybrecht, H.; Ronde, Thierry De; Michel, Luc; Rosière, Alain

doi:10.1080/00015458.2009.11680549

Cited by 7 publications

(2 citation statements)

References 11 publications

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“…22,23 First described in 1998, the surgical transgastric approach to the gastric remnant has been associated with high success rates and low postoperative morbidity. 5,[24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] Of a combined 99 bile duct cannulation attempts described in 13 published case series involving laparoscopic or open transgastric access (including the present case series), common bile duct cannulation occurred in 98 of 99 (99.0%) attempts (Table 2). The single unsuccessful attempt was attributed to stone impaction at the ampulla.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Transgastric Endoscopy after Roux-en-Y Gastric Bypass: Case Series and Review of the Literature

Richardson

Lee

Smith

et al. 2012

The American Surgeon™

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Endoscopic access to the gastric remnant and pancreatobiliary tree is technically difficult after Roux-en-Y gastric bypass even when facilitated by the use of specialized techniques such as balloon enteroscopy and the use of overtubes. Furthermore, such techniques are not universally available at all medical centers. We describe a case series of 13 patients with a history of Roux-en-Y gastric bypass for the treatment of morbid obesity who underwent laparoscopic transgastric endoscopy through the gastric remnant to access the duodenum or biliary tree. Charts of these patients were reviewed for demographics, indications for procedure, length of stay, morbidity, and mortality. Four of the patients had failed prior attempts to access the excluded anatomy through traditional transoral endoscopy. Two patients underwent transgastric endoscopy for evaluation of gastrointestinal bleeding. Of the 11 patients for whom endoscopic retrograde cholangiopancreatography was planned, all underwent successful biliary cannulation and sphincterotomy. There were no conversions to an open procedure or complications during the follow-up period. Laparoscopic transgastric endoscopy is a safe and reliable method to access the excluded stomach and biliary tree in patients with a history of Roux-en-Y gastric bypass.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Transgastric Endoscopy after Roux-en-Y Gastric Bypass: Case Series and Review of the Literature

Richardson

Lee

Smith

et al. 2012

The American Surgeon™

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“…57, 58, 59, 60, 61, 62, 63 Once again the optimal approach is via translaparoscopic gastroscopic passage through an operatively place trocar directly into the remnant stomach. 57, 61 In this instance, a sterilized duodenoscope is passed under observation in the operative field directly through the trocar and rapidly through the pylorus into the second portion of the duodenum (Figure 5).…”

Section: Surgical Options For Morbid Obesity—multidisciplinary Approamentioning

confidence: 99%

Morbid Obesity—The New Pandemic: Medical and Surgical Management, and Implications for the Practicing Gastroenterologist

Cello

Rogers

2013

Clinical and Translational Gastroenterology

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The gastroenterologist, whether in academic or clinical practice, must face the reality that an increasingly large percentage of adult patients are morbidly obese. Morbid obesity is associated with significant morbidity and mortality including enhanced morbidity from cardiovascular, cerebrovascular, hepatobiliary and colonic diseases. Most of these associated diseases are actually preventable. Based on the 1991 NIH consensus conference criteria, for most patients with a body mass index (BMI=weight in kilograms divided by the height in meters squared) of 40 or more, or for patients with a BMI of 35 or more and significant health complications, surgery may be the only reliable option. Currently in the United States, over 250,000 bariatric surgical procedures are being performed annually. The practicing gastroenterologist in every community, large and small, must be familiar with the various surgical procedures together with their associated anatomic changes. These changes may dramatically increase the prevalence of nutritional deficiencies and profoundly alter the clinical and endoscopic approaches to diagnosis and management.

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Complications of laparoscopic transgastric ERCP in patients with Roux-en-Y gastric bypass

et al. 2014

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Roux-en-Y gastric bypass eliminates the normal approach to the duodenum for ERCP. Transgastric access has a high rate of successful cannulation but is associated with complications. Conversion to open procedure occurred in 4.8%, and 16% developed a complication related to the access site, though the rate of operative intervention was low (2.4%). Our study is limited by its retrospective design, which may underestimate the complication rate, and by our homogenous patient population (94% female, 68% sphincter of Oddi dysfunction).

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Management of Common Bile Duct Stone Late after Laparoscopic Roux-en-Y Gastric Bypass for Obesity

Cited by 7 publications

References 11 publications

Laparoscopic Transgastric Endoscopy after Roux-en-Y Gastric Bypass: Case Series and Review of the Literature

Laparoscopic Transgastric Endoscopy after Roux-en-Y Gastric Bypass: Case Series and Review of the Literature

Morbid Obesity—The New Pandemic: Medical and Surgical Management, and Implications for the Practicing Gastroenterologist

Complications of laparoscopic transgastric ERCP in patients with Roux-en-Y gastric bypass

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