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CC BY-NC-ND 4.0 · Endosc Int Open 2018; 06(07): E826-E829
DOI: 10.1055/a-0609-6448
Case report
Owner and Copyright © Georg Thieme Verlag KG 2018

Mirizzi’s syndrome in Roux-en-Y bypass patient successfully treated with cholangioscopically-guided laser lithotripsy via percutaneous gastrostomy

Nassim Hammoudi
1   Service de gastroentérologie et endoscopie digestive, Hôpital Cochin, Université Paris Descartes, 27 rue du Faubourg Saint Jacques, 75014 Paris, France
,
Bertrand Brieau
1   Service de gastroentérologie et endoscopie digestive, Hôpital Cochin, Université Paris Descartes, 27 rue du Faubourg Saint Jacques, 75014 Paris, France
,
Maximilien Barret
1   Service de gastroentérologie et endoscopie digestive, Hôpital Cochin, Université Paris Descartes, 27 rue du Faubourg Saint Jacques, 75014 Paris, France
2   Unité INSERM 1016, Université Paris Descartes, Sorbonne Paris Cité, Paris, France
,
Benoit Bordacahar
1   Service de gastroentérologie et endoscopie digestive, Hôpital Cochin, Université Paris Descartes, 27 rue du Faubourg Saint Jacques, 75014 Paris, France
,
Sarah Leblanc
1   Service de gastroentérologie et endoscopie digestive, Hôpital Cochin, Université Paris Descartes, 27 rue du Faubourg Saint Jacques, 75014 Paris, France
,
Romain Coriat
1   Service de gastroentérologie et endoscopie digestive, Hôpital Cochin, Université Paris Descartes, 27 rue du Faubourg Saint Jacques, 75014 Paris, France
2   Unité INSERM 1016, Université Paris Descartes, Sorbonne Paris Cité, Paris, France
,
Stanislas Chaussade
1   Service de gastroentérologie et endoscopie digestive, Hôpital Cochin, Université Paris Descartes, 27 rue du Faubourg Saint Jacques, 75014 Paris, France
2   Unité INSERM 1016, Université Paris Descartes, Sorbonne Paris Cité, Paris, France
,
Frédéric Prat
1   Service de gastroentérologie et endoscopie digestive, Hôpital Cochin, Université Paris Descartes, 27 rue du Faubourg Saint Jacques, 75014 Paris, France
2   Unité INSERM 1016, Université Paris Descartes, Sorbonne Paris Cité, Paris, France
› Author Affiliations
Further Information

Publication History

submitted 29 October 2017

accepted after revision 13 March 2018

Publication Date:
04 July 2018 (online)

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Abstract

Obesity and bariatric surgery are major risk factors in gallstone disease. In patients with a past history of Roux-en-Y gastric bypass, Mirizzi’s syndrome is a challenging endoscopic situation because of the modified anatomy. Here we report the first case of a patient with a Roux-en-Y gastric bypass treated by intracorporeal lithotripsy with a digital single-operator cholangioscope following an endoscopic retrograde cholangiopancreatography (ERCP) using a percutaneous gastrostomy access.

 

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