Mirizzi's syndrome in Roux-en-Y bypass patient successfully treated with cholangioscopically-guided laser lithotripsy via percutaneous gastrostomy

Nassim Hammoudi; Bertrand Brieau; Maximilien Barret; Benoit Bordacahar; Sarah Leblanc; Romain Coriat; Stanislas Chaussade; Frédéric Prat

doi:10.1055/a-0609-6448

Mirizzi's syndrome in Roux-en-Y bypass patient successfully treated with cholangioscopically-guided laser lithotripsy via percutaneous gastrostomy

Endosc Int Open. 2018 Jul;6(7):E826-E829. doi: 10.1055/a-0609-6448. Epub 2018 Jul 4.

Authors

Nassim Hammoudi¹, Bertrand Brieau¹, Maximilien Barret^{1

2}, Benoit Bordacahar¹, Sarah Leblanc¹, Romain Coriat^{1

2}, Stanislas Chaussade^{1

2}, Frédéric Prat^{1

2}

Affiliations

¹ Service de gastroentérologie et endoscopie digestive, Hôpital Cochin, Université Paris Descartes, 27 rue du Faubourg Saint Jacques, 75014 Paris, France.
² Unité INSERM 1016, Université Paris Descartes, Sorbonne Paris Cité, Paris, France.

Abstract

Obesity and bariatric surgery are major risk factors in gallstone disease. In patients with a past history of Roux-en-Y gastric bypass, Mirizzi's syndrome is a challenging endoscopic situation because of the modified anatomy. Here we report the first case of a patient with a Roux-en-Y gastric bypass treated by intracorporeal lithotripsy with a digital single-operator cholangioscope following an endoscopic retrograde cholangiopancreatography (ERCP) using a percutaneous gastrostomy access.

Publication types

Case Reports