ERCP after bariatric surgery--literature review and case report.

Obesity is a disease which has become more prevalent in Romania. Bariatric surgical procedures are among the treatment options for obese patients. Obesity and the metabolic disorders induced by it are risk factors for gallstones formation and their complications. ERCP is a minimally invasive therapeutic procedure indicated in the treatment of choledochal lithiasis and its complications. ERCP is generally considered the most difficult endoscopic procedure from the technical point of view. The authors have proposed to consider the possibility of performing therapeutic ERCP in patients who have undergone bariatric procedures. Literature data are reviewed and the case of a patient treated in a minimally invasive (laparoendoscopic) way for cholecyst and choledocholithiasis after longitudinal gastrectomy is presented.