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Transjejunal Laparoscopic-Assisted ERCP: a Technique to Deal with Choledocholithiasis After Roux-En-Y Reconstruction

  • Giorgio Dalmonte Email author
  • Marina Valente
  • Simone Bosi
  • Alessandro Gnocchi
  • Federico Marchesi
Video Submission
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Abstract

Introduction

In Roux-en-Y reconstructions, choledocholithiasis could represent a really challenging condition to treat which can be treated by a surgical-assisted ERCP. Only six cases of transjejunal laparoscopic-assisted ERCP (LAERCP) can be found in literature to date and no large series are present.

Methods

A young woman who had undergone a laparoscopic Roux-en-Y gastric bypass 2 years earlier came complaining recurrent abdominal pain. Radiologic exams found stones in the common bile duct and no signs of internal hernia. We therefore decided to perform a transjejunal LAERCP finding a concomitant internal hernia in the Petersen’s space which was repaired at the same time.

Results

The post-operative course was uneventful.

Conclusion

Transjejunal LAERCP is a feasible technique to deal with choledocholithiasis, and it allows at the same time to identify and treat concomitant conditions like internal hernias.

Keywords

Transjejunal Laparoscopy ERCP Roux-En-Y Gastric bypass Choledocholithiasis Video Surgical technique 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from the participant.

Statement of Human Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Supplementary material

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Unit of Clinical Surgery, Department of Medicine and SurgeryParma University HospitalParmaItaly
  2. 2.S.C. Gastroenterologia ed Endoscopia DigestivaParma University HospitalParmaItaly

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