Laparoscopically assisted ERCP in a case of acute cholangitis in a patient with biliopancreatic diversion with distal gastric preservation.
Roux-en-Y gastric bypass, biliopancreatic diversion (BPD; Scopinaro's technique), and BPD with distal gastric preservation (BPDGP) are different surgical procedures, currently performed with laparoscopic assistance, successfully used as a treatment for morbid obesity. All of these modalities bear the burden of a difficult access when it comes to explore and work within the biliary tract. We present a case of acute cholangitis due to choledocholithiasis in a patient with BPDGP for morbid obesity successfully managed by laparoscopy-assisted endoscopic retrograde cholangiopancreatography through the gastric remnant.
Sebastián
Juan J
JJ
Servicio de Aparato Digestivo, Hospital General Royo Villanova, Avda. San Gregorio, 30, 50015, Zaragoza, Spain. jjsebastian@comz.org.
Resa
J Joaquín
JJ
Servicio de Cirugía General y del Aparato Digestivo, Hospital General Royo Villanova, Avda. San Gregorio, 30, 50015, Zaragoza, Spain.
Peña
Elena
E
Servicio de Aparato Digestivo, Hospital General Royo Villanova, Avda. San Gregorio, 30, 50015, Zaragoza, Spain.
Blas
J Manuel
JM
Servicio de Aparato Digestivo, Hospital General Royo Villanova, Avda. San Gregorio, 30, 50015, Zaragoza, Spain.
Ceña
Gloria
G
Servicio de Aparato Digestivo, Hospital General Royo Villanova, Avda. San Gregorio, 30, 50015, Zaragoza, Spain.
Fatás
J Antonio
JA
Servicio de Cirugía General y del Aparato Digestivo, Hospital General Royo Villanova, Avda. San Gregorio, 30, 50015, Zaragoza, Spain.
D015904:Biliopancreatic Diversion; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D002761:Cholangitis / Q000209:etiology; D002763:Cholecystectomy / Q000379:methods*; D042883:Choledocholithiasis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005774:Gastrostomy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged