Endoscopic transgastric retrograde cholangiopancreatography assisted by laparoscopy in a patient with gastric bypass

Obesity is a global public health problem. The development of new surgical techniques and endoscopic procedures, along with the continuous advancement of instruments and equipment in the field of gastrointestinal endoscopy, allows for the management of increasingly complex cases, including complicat...

Descripción completa

Detalles Bibliográficos
Autores: Blasco, Carmelo, Miranda, Carolina, Morinigo, Sergio, Vallejos, Maisa
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:Perú
Institución:Sociedad de Gastroenterología del Perú
Repositorio:Revista de Gastroenterología del Perú
Idioma:español
OAI Identifier:oai:ojs.revistagastroperu.com:article/1816
Acceso en línea:https://revistagastroperu.com/index.php/rgp/article/view/1816
Access Level:acceso abierto
Palabra clave:Bypass Gástrico
Colangiopancreatografia Retrógrada Endoscópica
Laparoscopía
Gastric Bypass
Cholangiopancreatography, Endoscopic Retrograde
Laparoscopy
Descripción
Sumario:Obesity is a global public health problem. The development of new surgical techniques and endoscopic procedures, along with the continuous advancement of instruments and equipment in the field of gastrointestinal endoscopy, allows for the management of increasingly complex cases, including complications that may arise in patients undergoing therapeutic procedures related to obesity. The approach to the biliary tract in patients previously subjected to gastrojejunal bypass for the treatment of morbid obesity is complex due to the alterations in the anatomy of the upper gastrointestinal tract, posing a challenge for the endoscopist. In these cases, a valid alternative for managing biliary pathology is transgastric endoscopic retrograde cholangiopancreatography (LA-ERCP) assisted by laparoscopy. Below, we present a case in which LA-ERCP was used to manage biliary stones in a patient with a history of gastric bypass.