Outcomes of laparoscopic-assisted ERCP in gastric bypass patients at a community hospital center

Mohammad, Benefsha; Richard, Michele; Pandit, Amrita S.; Zuccala, Keith; Brandwein, Steven L.

doi:10.1007/s00464-019-07310-y

Cited by 17 publications

(10 citation statements)

References 24 publications

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“…The initial literature search resulted in 4105 studies, with 76 of them [ 11 , 13 , 15 , 17 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 ,…”

Section: Resultsunclassified

“…The vast majority of patients ( n = 4934, 72.9%) underwent R-en-Y anastomosis and 38.9% ( n = 1919) of them represented bariatric cases with RYGB. Of note, studies investigating the role of EDGE [ 77 , 82 , 86 , 87 , 94 , 97 , 99 , 100 ] and LA-ERCP [ 48 , 74 , 76 , 78 , 79 , 80 , 83 , 84 , 85 , 88 , 89 , 90 , 91 , 94 , 95 , 99 , 100 ] exclusively enrolled RYGB cases, except for one per modality [ 75 , 81 ].…”

Section: Resultsmentioning

confidence: 99%

“…The quality assessment did not reveal major methodological pitfalls among the included studies. The most common shortcoming was the absence of detailed description of statistical models [ 34 , 37 , 38 , 40 , 44 , 47 , 48 , 49 , 50 , 56 , 58 , 59 , 60 , 62 , 66 , 69 , 71 , 77 , 80 , 84 , 85 , 86 , 88 , 90 , 91 , 93 , 104 ], though without impacting the overall quality. Moreover, some studies did not provide results about demographics, albeit information considering the estimation of our primary outcome was integral ( Supplementary Table S3 ) [ 17 , 36 , 77 , 84 , 93 , 94 , 99 , 100 ].…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, single-balloon enteroscope-assisted ERCP (SBE) [ 15 , 33 , 34 , 35 , 36 , 37 , 38 , 40 , 45 , 48 , 50 , 53 , 54 , 59 , 62 , 63 , 64 , 66 , 68 , 71 , 72 , 92 , 93 , 95 , 101 , 102 , 103 ] (27 studies, 1543 procedures) provided optimal positioning in front of the ampulla and/or anastomosis in 88.1% (95%CI: 85.5–90.6) of cases and double-balloon enteroscope-assisted-ERCP (DBE) in 89.8% (95%CI: 87.1–92.4). Regarding EDGE (9 studies, 253 procedures) [ 77 , 81 , 82 , 86 , 87 , 94 , 97 , 99 , 100 ], the pooled rate of technical success was 97.9% (95%CI: 96.4–99.4); Figure 2 b), while sufficient positioning in front of the ampulla was possible in 99.1% (95%CI: 98.6–99.7); Figure 2 c) of the patients undergoing LA-ERCP (18 studies, 767 procedures) [ 48 , 74 , 75 , 76 , 78 , 79 , 80 , 83 , 84 , 85 , 88 , 89 ,…”

Section: Resultsmentioning

confidence: 99%

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Comparison between Enteroscopy-, Laparoscopy- and Endoscopic Ultrasound-Assisted Endoscopic Retrograde Cholangio-Pancreatography in Patients with Surgically Altered Anatomy: A Systematic Review and Meta-Analysis

Gkolfakis

Papaefthymiou

Facciorusso

et al. 2022

Life

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Background and Aims: Endoscopic retrograde cholangiopancreatography (ERCP), in surgically altered anatomy (SAA), can be challenging and the optimal technique selection remains debatable. Most common foregut interventions resulting to this burden consist of Billroth II gastrectomy, Whipple surgery and Roux-en-Y anastomoses, including gastric by-pass. This systematic review, with meta-analysis, aimed to compare the rates of successful enteroscope-assisted (EA)-, endosonography-directed transgastric- (EDGE), and laparoscopy-assisted (LA)-ERCP. Methods: A systematic research (Medline) was performed for relative studies, through January 2022. The primary outcome was technical success, defined as approaching the ampulla site. Secondary outcomes included the desired duct cannulation, successful therapeutic manipulations, and complication rates. We performed meta-analyses of pooled data, and subgroup analysis considering the EA-ERCP subtypes (spiral-, double and single balloon-enteroscope). Pooled rates are reported as percentages with 95% Confidence Intervals (95%CIs). Results: Seventy-six studies were included (3569 procedures). Regarding primary outcome, EA-ERCP was the least effective [87.3% (95%CI: 85.3–89.4); I2: 91.0%], whereas EDGE and LA-ERCP succeeded in 97.9% (95%CI: 96.4–99.4; I2: 0%) and 99.1% (95%CI: 98.6–99.7; I2: 0%), respectively. Similarly, duct cannulation and therapeutic success rates were 74.7% (95%CI: 71.3–78.0; I2: 86.9%) and 69.1% (95%CI: 65.3–72.9; I2: 91.8%) after EA-ERCP, 98% (95%CI: 96.5–99.6; I2: 0%) and 97.9% (95%CI: 96.3–99.4) after EDGE, and 98.6% (95%CI: 97.9–99.2; I2: 0%) and 98.5% (95%CI: 97.8–99.2; I2: 0%) after LA-ERCP, respectively. The noticed high heterogeneity in EA-ERCP results probably reflects the larger number of included studies, the different enteroscopy modalities and the variety of surgical interventions. Comparisons revealed the superiority of LA-ERCP and EDGE over EA-ERCP (p ≤ 0.001) for all success-related outcomes, though LA-ERCP and EDGE were comparable (p ≥ 0.43). ERCP with spiral-enteroscope was inferior to balloon-enteroscope, while the type of the balloon-enteroscope did not affect the results. Most adverse events were recorded after LA-ERCP [15.1% (95%CI: 9.40–20.8); I2: 87.1%], and EDGE [13.1% (95%CI: 7.50–18.8); I2: 48.2%], significantly differing from EA-ERCP [5.7% (95%CI: 4.50–6.80); p ≤ 0.04; I2: 64.2%]. Conclusions: LA-ERCP and EDGE were associated with higher technical, cannulation, and therapeutic success compared to EA-ERCP, though accompanied with more adverse events.

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Section: Resultsunclassified

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Comparison between Enteroscopy-, Laparoscopy- and Endoscopic Ultrasound-Assisted Endoscopic Retrograde Cholangio-Pancreatography in Patients with Surgically Altered Anatomy: A Systematic Review and Meta-Analysis

Gkolfakis

Papaefthymiou

Facciorusso

et al. 2022

Life

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“…Therefore, reducing the pain degree of patients is one of the important objectives of clinical treatment [ 17 ]. Laparoscopic-assisted ERPC can successfully reduce pain in gastric bypass patients, according to Mohammad et al [ 18 ]. In this study, after treatment, the VAS ratings of both the observation and control groups were significantly lower than in the other groups.…”

Section: Discussionmentioning

confidence: 99%

Effect of Endoscopic Retrograde Cholangiopancreatography Lithotomy Combined with Laparoscopic Cholecystectomy on Pain and Prognosis of Patients with Gallstones and Extrahepatic Bile Duct Stones

Zhao

Zhang

2022

Computational Intelligence and Neuroscience

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Objective. The researchers aim to assess how endoscopic retrograde cholangiopancreatography lithotomy and laparoscopic cholecystectomy affected pain and prognosis in individuals with gallstones and extrahepatic bile duct stones. Methods. Researchers studied 100 persons with gallstones and extrahepatic bile duct stones from January 2016 to August 2021. They were split into two groups: control and observation. The control group underwent open cholecystectomy + choledocholithotomy + T-tube drainage. There were ERCP + lithotomy + Laparoscopic cholecystectomy procedures conducted on the observation group of patients (LC). The operation time, incision size, and bleeding volume; stone clearance rate and stone recurrence rate; visual analogue scale (VAS); Eating time, exhaust time, out of bed activity time, and postoperative hospital stay; the two groups’ difficulties were contrasted and studied. Results. The observation group’s operation duration was much longer than the control group’s, and the incision size and bleeding volume were significantly reduced in the observation group. When it came to recurrence, there was a significant difference between the observation group (2.0%) and the control group (4.0%), even though stone clearance did not differ substantially (20.00%). The VAS scores 3 and 7 days after surgery were significantly different between the observation and control groups. The observation group’s eating time, exhaustion, activity time, and postoperative hospital stay were much shorter than the control group’s; complications occurred at a lower rate (20%) in the observation group than in the control group (34%). Conclusion. When gallstones and extrahepatic bile-duct stones are removed using laparoscopic lithotomy and laparoscopic cystoscopy (LC), the operation indices are improved and the risk of recurrence of stones is reduced and reducing the occurrence of complications, all of which improve patient outcomes and deserve to be considered a clinical reference.

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Postoperative Gallensteinentwicklung

Chiappetta¹

2022

Interdisziplinäre Langzeitbehandlung Der Adipositas- Und Metabolischen Chirurgie

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Outcomes of laparoscopic-assisted ERCP in gastric bypass patients at a community hospital center

Cited by 17 publications

References 24 publications

Comparison between Enteroscopy-, Laparoscopy- and Endoscopic Ultrasound-Assisted Endoscopic Retrograde Cholangio-Pancreatography in Patients with Surgically Altered Anatomy: A Systematic Review and Meta-Analysis

Comparison between Enteroscopy-, Laparoscopy- and Endoscopic Ultrasound-Assisted Endoscopic Retrograde Cholangio-Pancreatography in Patients with Surgically Altered Anatomy: A Systematic Review and Meta-Analysis

Effect of Endoscopic Retrograde Cholangiopancreatography Lithotomy Combined with Laparoscopic Cholecystectomy on Pain and Prognosis of Patients with Gallstones and Extrahepatic Bile Duct Stones

Postoperative Gallensteinentwicklung

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