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| http://dx.doi.org/10.1055/a-2266-1860 | DOI Listing |
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Pancreaticoduodenectomy after Roux-en-Y gastric bypass and novel endoscopic ultrasound-directed transgastric ERCP procedure.
J Surg Case Rep
December 2024
Department of Surgery, The University of Texas Health Science Center at Tyler, 11937 US HWY 271, Tyler, TX 75708, United States.
Performing a pancreaticoduodenectomy (PD) in patients having undergone a Roux-en-Y gastric bypass (RNYGB) poses a significant surgical challenge. We present a patient with a history of RNYGB and endoscopic ultrasound-directed transgastric ERCP (EDGE) procedure who underwent a successful PD. This 77-year-old female with history of open RNYBG presented with resectable pancreatic adenocarcinoma.
View Article and Find Full Text PDFUnderstanding the Role of Different ERCP Techniques in Post-Roux-en-Y Gastric Bypass Patients: a Systematic Review and Meta-analysis.
Obes Surg
December 2024
Department of Surgery, Transplantation and Gastroenterology, Division of Interventional Gastroenterology, Semmelweis University, Üllői Út 78, 1082, Budapest, Hungary.
Article Synopsis
- The study compared three techniques for ERCP (endoscopic retrograde cholangiopancreatography) in patients who had undergone Roux-en-Y gastric bypass: enteroscopy-assisted (EA-ERCP), laparoscopy-assisted (LA-ERCP), and endoscopic ultrasound-directed (EDGE).
- 67 studies were analyzed, showing that EDGE had the highest technical success rate at 96%, followed by LA-ERCP at 93%, and EA-ERCP at 77%, with significant differences between EA-ERCP and the other methods.
- The overall rates of adverse events were similar across all techniques, suggesting that EDGE and LA-ERCP are both effective and as safe
Endoscopic ultrasound-directed transgastric ERCP (EDGE) - An effective approach for bile duct stone treatment after gastric bypass.
Gastroenterol Hepatol
November 2024
Gastroenterology Department, Hospital Garcia de Orta, Almada, Portugal.
Alternative endoscopic salvage therapies using lumen-apposing metal stents for stent misdeployment during endoscopic ultrasound-directed transgastric intervention.
Endoscopy
December 2024
Hepatogastroenterology, Cliniques universitaires Saint-Luc, Brussels, Belgium.
Persistent Fistula Closure After Endoscopic Ultrasound-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography by Postinfarct Ventricular Septal Defect Occluder.
ACG Case Rep J
September 2024
Division of Gastroenterology, Geisinger Medical Center, Danville, PA.
A gastrogastric fistula is a delayed complication of the endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography. Endoscopic closure of these fistulae poses a significant challenge, and surgical intervention may be required in some patients. In this study, we discuss the case of a 69-year-old woman with persistent fistula following the endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography procedure.
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