Laparoscopic-Assisted Endoscopic Retrograde Cholangiopancreaticography after Roux-en-Y Gastric Bypass
Roux-en-Y gastric bypass (RYGB) anatomy has historically been considered to be a relative contraindication to endoscopic retrograde cholangiopancreaticography (ERCP) due to the challenges associated with navigating the length of the roux limb and locating the major duodenal papilla through a standar...
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| Veröffentlicht in: | The American surgeon 2016-09, Vol.82 (9), p.259-260 |
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| container_title | The American surgeon |
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| creator | Friedman, Starr Connor, Chelsea Cote, Gregory Byrne, Karl Thomas Pullatt, Rana |
| description | Roux-en-Y gastric bypass (RYGB) anatomy has historically been considered to be a relative contraindication to endoscopic retrograde cholangiopancreaticography (ERCP) due to the challenges associated with navigating the length of the roux limb and locating the major duodenal papilla through a standard side-viewing duodenoscope. Of these 11 patients, we succeeded in placing the 12-mm balloon trocar for facilitation of ERCP in 10 cases, after which point papillary cannulation and sphincterotomy were consistently performed with satisfactory results, i.e., resolution of choledocholithiasis or improvement in pain related to a tight sphincter of Oddi dysfunction. |
| doi_str_mv | 10.1177/000313481608200914 |
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Of these 11 patients, we succeeded in placing the 12-mm balloon trocar for facilitation of ERCP in 10 cases, after which point papillary cannulation and sphincterotomy were consistently performed with satisfactory results, i.e., resolution of choledocholithiasis or improvement in pain related to a tight sphincter of Oddi dysfunction.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313481608200914</identifier><identifier>PMID: 27670541</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Bile ; Cholangiopancreatography, Endoscopic Retrograde - methods ; Cholecystectomy ; Cholelithiasis - diagnostic imaging ; Cholelithiasis - etiology ; Cholelithiasis - surgery ; Endoscopy ; Female ; Gastric Bypass - methods ; Humans ; Laparoscopy ; Male ; Middle Aged ; Patients ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - surgery ; Sphincterotomy, Endoscopic - methods ; Stomach</subject><ispartof>The American surgeon, 2016-09, Vol.82 (9), p.259-260</ispartof><rights>2016 Southeastern Surgical Congress</rights><rights>Copyright Southeastern Surgical Congress Sep 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-9ebbe609ebf1d964958c0a828d1f1c5972118fc19fea054f4c6d66dd8b676a313</citedby><cites>FETCH-LOGICAL-c415t-9ebbe609ebf1d964958c0a828d1f1c5972118fc19fea054f4c6d66dd8b676a313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000313481608200914$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000313481608200914$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27670541$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Friedman, Starr</creatorcontrib><creatorcontrib>Connor, Chelsea</creatorcontrib><creatorcontrib>Cote, Gregory</creatorcontrib><creatorcontrib>Byrne, Karl Thomas</creatorcontrib><creatorcontrib>Pullatt, Rana</creatorcontrib><title>Laparoscopic-Assisted Endoscopic Retrograde Cholangiopancreaticography after Roux-en-Y Gastric Bypass</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>Roux-en-Y gastric bypass (RYGB) anatomy has historically been considered to be a relative contraindication to endoscopic retrograde cholangiopancreaticography (ERCP) due to the challenges associated with navigating the length of the roux limb and locating the major duodenal papilla through a standard side-viewing duodenoscope. Of these 11 patients, we succeeded in placing the 12-mm balloon trocar for facilitation of ERCP in 10 cases, after which point papillary cannulation and sphincterotomy were consistently performed with satisfactory results, i.e., resolution of choledocholithiasis or improvement in pain related to a tight sphincter of Oddi dysfunction.</description><subject>Bile</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - methods</subject><subject>Cholecystectomy</subject><subject>Cholelithiasis - diagnostic imaging</subject><subject>Cholelithiasis - etiology</subject><subject>Cholelithiasis - surgery</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastric Bypass - methods</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - surgery</subject><subject>Sphincterotomy, Endoscopic - 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methods</topic><topic>Cholecystectomy</topic><topic>Cholelithiasis - diagnostic imaging</topic><topic>Cholelithiasis - etiology</topic><topic>Cholelithiasis - surgery</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gastric Bypass - methods</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - surgery</topic><topic>Sphincterotomy, Endoscopic - methods</topic><topic>Stomach</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Friedman, Starr</creatorcontrib><creatorcontrib>Connor, Chelsea</creatorcontrib><creatorcontrib>Cote, Gregory</creatorcontrib><creatorcontrib>Byrne, Karl Thomas</creatorcontrib><creatorcontrib>Pullatt, Rana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Friedman, Starr</au><au>Connor, Chelsea</au><au>Cote, Gregory</au><au>Byrne, Karl Thomas</au><au>Pullatt, Rana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic-Assisted Endoscopic Retrograde Cholangiopancreaticography after Roux-en-Y Gastric Bypass</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2016-09</date><risdate>2016</risdate><volume>82</volume><issue>9</issue><spage>259</spage><epage>260</epage><pages>259-260</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract>Roux-en-Y gastric bypass (RYGB) anatomy has historically been considered to be a relative contraindication to endoscopic retrograde cholangiopancreaticography (ERCP) due to the challenges associated with navigating the length of the roux limb and locating the major duodenal papilla through a standard side-viewing duodenoscope. Of these 11 patients, we succeeded in placing the 12-mm balloon trocar for facilitation of ERCP in 10 cases, after which point papillary cannulation and sphincterotomy were consistently performed with satisfactory results, i.e., resolution of choledocholithiasis or improvement in pain related to a tight sphincter of Oddi dysfunction.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>27670541</pmid><doi>10.1177/000313481608200914</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Bile Cholangiopancreatography, Endoscopic Retrograde - methods Cholecystectomy Cholelithiasis - diagnostic imaging Cholelithiasis - etiology Cholelithiasis - surgery Endoscopy Female Gastric Bypass - methods Humans Laparoscopy Male Middle Aged Patients Postoperative Complications - diagnostic imaging Postoperative Complications - surgery Sphincterotomy, Endoscopic - methods Stomach |
| title | Laparoscopic-Assisted Endoscopic Retrograde Cholangiopancreaticography after Roux-en-Y Gastric Bypass |
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