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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
1   Center for Gastroenterology, Hepatology and Endoscopy, Max Super Specialty Hospital, New Delhi, India
,
Vikas Singla
1   Center for Gastroenterology, Hepatology and Endoscopy, Max Super Specialty Hospital, New Delhi, India
,
Pradeep Chowbey
2   Minimal Access, Metabolic and Bariatric Surgery, Max Super Specialty Hospital, New Delhi, India
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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


Publication History

Article published online:
25 December 2021

© 2021. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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