Laparoscopy-Assisted Trans-Gastric Rendez-vous for the Treatment of Common Bile Duct Stones in Patients with Prior Roux-en-Y Gastric Bypass.
Common bile duct (CBD) stones in a Roux-en-Y gastric bypass (RYGB) represent a major challenge for ERCP due to long-limb anatomy. Trans-gastric approach has been proposed but entails high ERCP-related risks. Laparoscopy assisted trans-gastric rendez-vous (LATG-RV) is a one-step procedure that may lower the risks of these patients.



We describe our initial experience in four patients with past history of RYGB and CBD stones.



All patients underwent LATG-RV and had successful CBD stone clearance. Postoperative course was uneventful with normal amylase levels. Average procedure time was 105 min and postoperative stay 2 days.



LATG-RV is a safe and effective procedure for the clearance of CBD stones in RYGB patients. It may have fewer complications and shorter operative time than regular trans-gastric ERCP.
Department of Gastrointestinal Surgery, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.
Ricardo
R
Mejía
Department of Gastrointestinal Surgery, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.
Pablo
P
Achurra
Department of Gastrointestinal Surgery, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.
Mauricio
M
Gabrielli
Department of Gastrointestinal Surgery, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.
Eduardo
E
Briceño
Department of Gastrointestinal Surgery, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.
Rolando
R
Rebolledo
Department of Gastrointestinal Surgery, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.
Alberto
A
Torres
Department of Gastrointestinal Surgery, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.
Allan
A
Sharp
Department of Gastrointestinal Surgery, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.
Fernando
F
Pimentel
Department of Gastrointestinal Surgery, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile. fcrovari@gmail.com.
Fernando
F
Crovari
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D003135:Common Bile Duct / Q000473:pathology / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000150:complications / Q000601:surgery*; D015390:Gastric Bypass / Q000009:adverse effects / Q000534:rehabilitation; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D016717:Sphincterotomy, Endoscopic / Q000379:methods; D013270:Stomach / Q000601:surgery
Choledocolithiasis; Common bile duct stones; Gastric bypass; Rendez-vous; Trans-gastric ERCP