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Obesity Surgery

, Volume 19, Issue 2, pp 250–252 | Cite as

Laparoscopically Assisted ERCP in a Case of Acute Cholangitis in a Patient with Biliopancreatic Diversion with Distal Gastric Preservation

  • Juan J. SebastiánEmail author
  • J. Joaquín Resa
  • Elena Peña
  • J. Manuel Blas
  • Gloria Ceña
  • J. Antonio Fatás
Case Report

Abstract

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.

Keywords

Obesity Morbid Biliopancreatic diversion Laparoscopy Cholangiopancreatography Endoscopic Retrograde (ERCP) Choledocholithiasis 

Abbreviations

LRYGB

laparoscopic Roux-en-Y gastric bypass

LBPD

laparoscopic biliopancreatic diversion

LBPDGP

laparoscopic biliopancreatic diversion with distal gastric preservation

ERCP

endoscopic retrograde cholangiopancreatography

CBD

common bile duct

BMI

body mass index

US

ultrasound

CT

computed tomography

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Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Juan J. Sebastián
    • 1
    Email author
  • J. Joaquín Resa
    • 2
  • Elena Peña
    • 1
  • J. Manuel Blas
    • 1
  • Gloria Ceña
    • 1
  • J. Antonio Fatás
    • 2
  1. 1.Servicio de Aparato DigestivoHospital General Royo VillanovaZaragozaSpain
  2. 2.Servicio de Cirugía General y del Aparato DigestivoHospital General Royo VillanovaZaragozaSpain

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