Complicated approach to the bile duct later of the Roux en Y gastric bypass for laparoscoic pathway. A case report and review of the literature

Guillermo Higa-Sansone; Samuel Szomstein; Flavia C Soto; Amir Mehran; Ronnie R Pimentel; Elías Chousleb; Natan Zundel; Raul J Rosenthal

2003, Number 3

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Rev Mex Cir Endoscop 2003; 4 (3)

Complicated approach to the bile duct later of the Roux en Y gastric bypass for laparoscoic pathway. A case report and review of the literature

Higa-Sansone G, Szomstein S, Soto FC, Mehran A, Pimentel RR, Chousleb E, Zundel N, Rosenthal RJ

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Language: Spanish
References: 16
Page: 149-152
PDF size: 60.82 Kb.

ABSTRACT

Endoscopic approach to the bile duct is complicated in patients previously submitted to a Roux en Y gastric Bypass. The surgery is tailored in such manner, that a transoral endoscopic approach is not possible. We propose a combined laparoscopic and endoscopic alternative for the management of cholangitis and common bile duct stones in patients with this type of gastrenteric bypass.

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