Transcystic Removal of Common Bile Duct Stones in Surgically Altered Anatomy (Roux-en-Y Gastric Bypass)

Surakshith K. Thyloor; Vikas Singla; Pradeep Chowbey

doi:10.1055/s-0041-1739970

Journal of Digestive Endoscopy, Table of Contents

CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2021; 12(03): 172-174
DOI: 10.1055/s-0041-1739970

Endoscopic Videos

Transcystic Removal of Common Bile Duct Stones in Surgically Altered Anatomy (Roux-en-Y Gastric Bypass)

Surakshith K. Thyloor

¹Center for Gastroenterology, Hepatology and Endoscopy, Max Super Specialty Hospital, New Delhi, India

,

Vikas Singla

¹Center for Gastroenterology, Hepatology and Endoscopy, Max Super Specialty Hospital, New Delhi, India

,

Pradeep Chowbey

²Minimal Access, Metabolic and Bariatric Surgery, Max Super Specialty Hospital, New Delhi, India

› Author Affiliations

Abstract

Endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy can be technically challenging. Various techniques have been described; however, the technical success rate depends on the type of reconstruction, length of the afferent limb, access to the papilla, availability of accessories, and adequate expertise. We describe successful transcystic removal of common bile duct stones in a patient with Roux-en-Y gastric bypass using cholangioscope and SpyGlass retrieval device at the time of cholecystectomy.

Keywords

CBD stone - cholangioscope - ERCP - Roux-en-Y gastric bypass - SpyGlass - transcystic CBD stone removal

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References

References
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