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Obes Surg. 2016 Nov;26(11):2809-2813.

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

Author information

1
Department of Gastrointestinal Surgery, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.
2
Department of Gastrointestinal Surgery, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile. fcrovari@gmail.com.

Abstract

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.

KEYWORDS:

Choledocolithiasis; Common bile duct stones; Gastric bypass; Rendez-vous; Trans-gastric ERCP

PMID:
27614616
DOI:
10.1007/s11695-016-2360-4
[Indexed for MEDLINE]

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