Management of Common Bile Duct Stone Late after Laparoscopic Roux-en-Y Gastric Bypass for Obesity

Sat, 13/03/2010 - 12:12 — Luc Michel
 published in Acta Chirurgica Belgica
2009, 109, 820-823


Rapid weight loss following Roux-en-Y gastric bypass (RYGBP) for the treatment of obesity can increase the incidence of cholelithiasis formation. Nevertheless, routine simultaneous cholecystectomy at the time of bariatric surgery remains controversial. However, in case of delayed occurrence of common bile duct (CBD) stones, the difficulty to reach endoscopically the biliary tract after RYGBP should be kept in mind.
We here report the case of a patient who presented with CBD stones seven years after gastric banding followed five years later by RYGBP without associated cholecystectomy.
Our approach of transgastric laparoscopic assisted endoscopic retrograde cholangiopancreaticography followed by sphincterotomy and balloon stones extraction is illustrated.

Published under a Creative Commons License: By attribution, non-commercial, share like.
Your rating: None

Warning: INSERT command denied to user 'dbo272419331'@'' for table 'drupal_watchdog' query: INSERT INTO drupal_watchdog (uid, type, message, variables, severity, link, location, referer, hostname, timestamp) VALUES (0, 'php', '%message in %file on line %line.', 'a:4:{s:6:\"%error\";s:12:\"user warning\";s:8:\"%message\";s:458:\"INSERT command denied to user 'dbo272419331'@'' for table 'drupal_accesslog'\nquery: INSERT INTO drupal_accesslog (title, path, url, hostname, uid, sid, timer, timestamp) values('Management of Common Bile Duct Stone Late after Laparoscopic Roux-en-Y Gastric Bypass for Obesity', 'node/264', '', '', 0, '3ed8601754beb300161df40451ecea4f', 118, 1532138210)\";s:5:\"%file\";s:67:\"/homepages/1/d1542447 in /homepages/1/d154244742/htdocs/includes/ on line 128