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- Title
Choledocoduodenal Biliary Bypass for Recurrent Choledocholithiasis in a Patient with Gastric Bypass: An Old Trick to Solve a Modern Problem.
- Authors
Ribeiro, Thiago Costa; Charruf, Amir Zeide; Stolzemburg, Lucas Cata Preta; Jureidini, Ricardo; Namur, Guilherme Naccache; Jukemura, José; Tustumi, Francisco
- Abstract
Bariatric patients are at risk for developing biliary stones. Choledocholithiasis poses a significant challenge in Roux-en-Y gastric bypass patients due to anatomical changes, complicating the treatment. We present a case of a 71-year-old female with recurrent choledocholithiasis post-bariatric surgery. After failed endoscopic attempts, a biliodigestive bypass with choledocoduodenal anastomosis was performed successfully using the Da Vinci robotic platform. This technique offers a single anastomosis, excluding the duodenum from transit, preventing food reflux. The patient had an uneventful recovery with no recurrence after 1 year. The choledocoduodenal anastomosis is a viable option for biliary diversion in patients with challenging endoscopic access post-gastric bypass, offering favorable outcomes.
- Subjects
LEONARDO, da Vinci, 1452-1519; GASTRIC bypass; GALLSTONES; BILIOUS diseases &; biliousness; PROBLEM solving; MORBID obesity
- Publication
Obesity Surgery, 2024, Vol 34, Issue 6, p2280
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-024-07251-z