Gallstone disease, common after Roux-en-Y gastricbypass (RYGBP), may be complicated by biliary ductobstruction and gallstone pancreatitis. Althoughendoscopic retrograde cholangiopancreatographyplays an important role in management of biliary ductobstruction, the altered anatomy of patients who havehad a RYGBP makes this procedure technically difficult.With the increased number of patients undergoingRYGBP for morbid obesity, bariatric surgeonsmay benefit from an alternative laparoscopic techniquefor accessing the biliary tree. We describe alaparoscopic technique of accessing the biliary treethrough the bypassed stomach.
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Nguyen, N.T., Hinojosa, M.W., Slone, J. et al. Laparoscopic Transgastric Access to the Biliary Tree after Roux-en-Y Gastric Bypass. OBES SURG 17, 416–419 (2007). https://doi.org/10.1007/s11695-007-9051-0
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DOI: https://doi.org/10.1007/s11695-007-9051-0