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- Title
Transjejunal Laparoscopic-Assisted ERCP: a Technique to Deal with Choledocholithiasis After Roux-En-Y Reconstruction.
- Authors
Dalmonte, Giorgio; Valente, Marina; Bosi, Simone; Gnocchi, Alessandro; Marchesi, Federico
- Abstract
Introduction: In Roux-en-Y reconstructions, choledocholithiasis could represent a really challenging condition to treat which can be treated by a surgical-assisted ERCP. Only six cases of transjejunal laparoscopic-assisted ERCP (LAERCP) can be found in literature to date and no large series are present. Methods: A young woman who had undergone a laparoscopic Roux-en-Y gastric bypass 2 years earlier came complaining recurrent abdominal pain. Radiologic exams found stones in the common bile duct and no signs of internal hernia. We therefore decided to perform a transjejunal LAERCP finding a concomitant internal hernia in the Petersen's space which was repaired at the same time. Results: The post-operative course was uneventful. Conclusion: Transjejunal LAERCP is a feasible technique to deal with choledocholithiasis, and it allows at the same time to identify and treat concomitant conditions like internal hernias.
- Subjects
GALLSTONES; DISEASE complications; GASTRIC bypass; BILE ducts; ABDOMINAL pain
- Publication
Obesity Surgery, 2019, Vol 29, Issue 6, p2005
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-019-03882-9