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

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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.

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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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Authors and Affiliations

  1. Servicio de Aparato Digestivo, Hospital General Royo Villanova, Avda. San Gregorio, 30, 50015, Zaragoza, Spain

    Juan J. Sebastián, Elena Peña, J. Manuel Blas & Gloria Ceña

  2. Servicio de Cirugía General y del Aparato Digestivo, Hospital General Royo Villanova, Avda. San Gregorio, 30, 50015, Zaragoza, Spain

    J. Joaquín Resa & J. Antonio Fatás

Authors
  1. Juan J. Sebastián
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  2. J. Joaquín Resa
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  3. Elena Peña
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  4. J. Manuel Blas
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  5. Gloria Ceña
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  6. J. Antonio Fatás
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Corresponding author

Correspondence to Juan J. Sebastián.

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Sebastián, J.J., Resa, J.J., Peña, E. et al. Laparoscopically Assisted ERCP in a Case of Acute Cholangitis in a Patient with Biliopancreatic Diversion with Distal Gastric Preservation. OBES SURG 19, 250–252 (2009). https://doi.org/10.1007/s11695-008-9683-8

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  • DOI: https://doi.org/10.1007/s11695-008-9683-8

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