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The Concept of Laparoscopy-Assisted Pancreatobiliary EUS (LAP-EUS)

  • Case Report
  • Published:
Journal of Gastrointestinal Surgery

Abstract

Introduction

While laparoscopy-assisted endoscopic retrograde cholangiopancreatography can be performed for the diagnosis and management of pancreaticobiliary diseases in patients with Roux-en-Y (RY) anatomy; the technical feasibility of performing laparoscopy-assisted endoscopic ultrasound (EUS) is unknown.

Methods

In this report, we describe the technique for performing laparoscopy-assisted EUS in two patients with RY gastric bypass anatomy who presented with obstructive jaundice, abnormal liver function tests, and dilated biliary tree.

Results

While the examination was normal in one patient, EUS-guided fine needle aspiration of pancreatic head mass revealed adenocarcinoma in the other.

Discussion

Laparoscopic assisted EUS examination including FNA is feasible in Roux-en-Y surgical anatomy.

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Author information

Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, BDB 389, 1808 7th Avenue South, Birmingham, AL, 35294, USA

    Jayapal Ramesh

  2. Division of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA

    John Christein

  3. Center for Interventional Endoscopy, Florida Hospital, 601 East Rollins Street, Orlando, FL, USA

    Shyam Varadarajulu

Authors
  1. Jayapal Ramesh
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  2. John Christein
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  3. Shyam Varadarajulu
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Corresponding author

Correspondence to Jayapal Ramesh.

Electronic Supplementary Material

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ESM 1

Video demonstrating the technique of laparoscopy-assisted EUS (WMV 18056 kb)

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Ramesh, J., Christein, J. & Varadarajulu, S. The Concept of Laparoscopy-Assisted Pancreatobiliary EUS (LAP-EUS). J Gastrointest Surg 17, 1020–1023 (2013). https://doi.org/10.1007/s11605-012-2135-8

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  • DOI: https://doi.org/10.1007/s11605-012-2135-8

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