Медицинская библиотека · Obesity surgery · 2016

Laparoscopy-Assisted Trans-Gastric Rendez-vous for the Treatment of Common Bile Duct Stones in Patients with Prior Roux-en-Y Gastric Bypass.

Mejía Ricardo, Achurra Pablo, Gabrielli Mauricio, Briceño Eduardo, Rebolledo Rolando, Torres Alberto, Sharp Allan, Pimentel Fernando, Crovari Fernando

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Аннотация

BACKGROUND

Common bile duct (CBD) stones in a Roux-en-Y gastric bypass (RYGB) represent a major challenge for ERCP due to long-limb anatomy. Trans-gastric approach has been proposed but entails high ERCP-related risks. Laparoscopy assisted trans-gastric rendez-vous (LATG-RV) is a one-step procedure that may lower the risks of these patients.

METHODS

We describe our initial experience in four patients with past history of RYGB and CBD stones.

RESULTS

All patients underwent LATG-RV and had successful CBD stone clearance. Postoperative course was uneventful with normal amylase levels. Average procedure time was 105 min and postoperative stay 2 days.

CONCLUSION

LATG-RV is a safe and effective procedure for the clearance of CBD stones in RYGB patients. It may have fewer complications and shorter operative time than regular trans-gastric ERCP.

Для цитирования: Mejía Ricardo, Achurra Pablo, Gabrielli Mauricio, Briceño Eduardo, Rebolledo Rolando, Torres Alberto, Sharp Allan, Pimentel Fernando, Crovari Fernando. Laparoscopy-Assisted Trans-Gastric Rendez-vous for the Treatment of Common Bile Duct Stones in Patients with Prior Roux-en-Y Gastric Bypass.. Obesity surgery. 2016. DOI: 10.1007/s11695-016-2360-4.

Предметные рубрики MeSH

Adult Cholangiopancreatography, Endoscopic Retrograde Common Bile Duct Female Gallstones Gastric Bypass Humans Laparoscopy Male Middle Aged Obesity, Morbid Retrospective Studies Sphincterotomy, Endoscopic Stomach

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