Image-Guided Surgery for Common Bile Duct Stones After Roux-en-Y Gastric Bypass

2020 ◽  
Author(s):  
C. Federico Davrieux ◽  
Mariano Palermo ◽  
Eduardo Houghton ◽  
Edgardo Serra ◽  
Pablo Acquafresca ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Image Guided Surgery ◽  
Bile Duct Stones ◽  
Guided Surgery ◽  
Image Guided

scholarly journals Transcystic Removal of Common Bile Duct Stones in Surgically Altered Anatomy (Roux-en-Y Gastric Bypass)

2021 ◽  
Vol 12 (03) ◽  
pp. 172-174
Author(s):  
Surakshith K. Thyloor ◽  
Vikas Singla ◽  
Pradeep Chowbey
Keyword(s):  
Gastric Bypass ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Technical Success ◽  
Endoscopic Retrograde ◽  
Technical Success Rate ◽  
Surgically Altered Anatomy ◽  
Retrieval Device

AbstractEndoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy can be technically challenging. Various techniques have been described; however, the technical success rate depends on the type of reconstruction, length of the afferent limb, access to the papilla, availability of accessories, and adequate expertise. We describe successful transcystic removal of common bile duct stones in a patient with Roux-en-Y gastric bypass using cholangioscope and SpyGlass retrieval device at the time of cholecystectomy.

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

2016 ◽  
Vol 26 (11) ◽  
pp. 2809-2813 ◽  
Author(s):  
Ricardo Mejía ◽  
Pablo Achurra ◽  
Mauricio Gabrielli ◽  
Eduardo Briceño ◽  
Rolando Rebolledo ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones

scholarly journals Management of Common Bile Duct Stones Encountered During Cholecystectomy in Patients With Previous Gastric Bypass

2021 ◽  
Vol 8 ◽  
Author(s):  
Agnieszka Popowicz ◽  
Susanne Sanamrad ◽  
Bahman Darkahi ◽  
Rebecka Zacharias ◽  
Gabriel Sandblom
Keyword(s):  
Gastric Bypass ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Operation Time ◽  
Common Bile Duct Stones ◽  
Rapid Weight Loss ◽  
Bile Duct Stones ◽  
Laparoscopic Choledochotomy ◽  
Significant Difference

Background: Rapid weight loss following gastric bypass (GBP) predisposes to the development of gallstones, and in those who develop gallstone disease there is a high prevalence of common bile duct stones (CBDS). Furthermore, in these patients, CBDS are difficult to extract due to the altered upper gastrointestinal anatomy following GBP. The aim of the present study was to assess outcome after various management methods applied in the counties of Stockholm and Uppsala, Sweden.Methods: Data from the Swedish Register for Gallstone Surgery and ERCP (GallRiks) and the Swedish Obesity Surgery Register (SoReg) were crossmatched to identify all patients who had undergone gallstone surgery after GBP, where CBDS were found at intraoperative cholangiography, in the Stockholm and Uppsala counties 2009–2013. A retrospective review of patient records was performed for all patients identified.Results: In all, 55 patients were identified. These were managed as follows: expectancy (N = 11); transgastric ERCP (N = 2); laparoscopic choledochotomy (N = 3); open choledochotomy (N = 5); transcystic stone extraction (N = 12); and other approach (N = 13). In nine cases, data on management could not be found. There were nine cases of minor postoperative complication. No retained stones were registered. The operation time was longer for transgastric ERCP (p = 0.002), and the postoperative stay was longer following open and laparoscopic choledochotomy (p < 0.001). There was no statistically significant difference between any of the methods regarding the incidence of postoperative complications (p = 0.098).Discussion: Further development of techniques for managing CBDS discovered in patients undergoing cholecystectomy after previous GBP are needed, as well as more comparative studies with greater statistical power.

Pathogenesis and presentation of common bile duct stones

2000 ◽  
Vol 7 (4) ◽  
pp. 224-231 ◽  
Author(s):  
Terrence H. Liu ◽  
Frank G. Moody
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones
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