title: Laparoscopic transgastric endoscopic retrograde cholangiopancreatography after biliopancreatic diversion.
abstract: Endoscopic retrograde cholangiopancreatography may be difficult in patients that have undergone Roux-en-Y gastric bypass. Due to the fact that prevalence of morbid obesity is increasing, and laparoscopic procedures for its treatment have increased, the incidence of biliary tract problems in patients of altered anatomy is also growing. We describe a laparoscopic technique to access the biliary tree by endoscope, through the excluded stomach.
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Unidad Hepatobiliopancreática, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España. Electronic address: xmolina@ssib.es.
authors.forename: Francesc Xavier
authors.initials: FX
authors.lastname: Molina Romero
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Unidad Hepatobiliopancreática, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España.
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Morón Canis
authors.affiliation: Servicio de Digestivo, Unidad de Endoscopia Digestiva, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Llompart Rigo
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Unidad Hepatobiliopancreática, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España.
authors.forename: José Carlos
authors.initials: JC
authors.lastname: Rodríguez Pino
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Unidad Hepatobiliopancreática, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España.
authors.forename: Rafael
authors.initials: R
authors.lastname: Morales Soriano
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Unidad Hepatobiliopancreática, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España.
authors.forename: Francesc Xavier
authors.initials: FX
authors.lastname: González Argente
mesh_terms: D015904:Biliopancreatic Diversion; D002760:Cholangiopancreatography, Endoscopic Retrograde; D015390:Gastric Bypass; D006801:Humans; D010535:Laparoscopy; D009767:Obesity, Morbid / Q000601:surgery
keywords: Biliopancreatic diversion; CPRE; Colangiopancreatografía retrógrada endoscópica; Derivación biliopancreática; ERCP; Endoscopic retrograde cholangiopancreatography; Laparoscopia; Laparoscopic; Transgastric; Transgástrica