Laparoscopy-Assisted Transjejunal ERCP in a Patient with Roux-en-Y Reconstruction Following Partial Gastrectomy

被引：8

作者：

Lopes, Tercio L. ^{[1
]}

Clements, Ronald H. ^{[2
]}

Wilcox, C. Mel ^{[1
]}

机构：

[1] Univ Alabama Birmingham, Div Gastroenterol & Hepatol, Birmingham, AL 35294 USA

[2] Univ Alabama Birmingham, Sect Gastroenterol Surg, Birmingham, AL 35294 USA

来源：

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | 2010年 / 20卷 / 01期

关键词：

ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; DOUBLE-BALLOON ENTEROSCOPY; GASTRIC BYPASS; THERAPEUTIC ERCP; BILLROTH II; CASE SERIES; SURGERY; ACCESS; SPHINCTEROTOMY; PLACEMENT;

D O I：

10.1089/lap.2009.0020

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

In this article, we report a patient with a history of partial gastrectomy and Roux-en-Y reconstruction who presented with abdominal pain due to sphincter of Oddi dysfunction. After failed endoscopic retrograde cholangiopancreatography (ERCP) through the anatomic route, the procedure was successfully performed with laparoscopy assistance through an enterotomy into the biliopancreatic limb. An internal hernia was diagnosed incidentally and treated appropriately. Laparoscopy-assisted ERCP is a viable option in patients with Roux-en-Y anatomy, even when the gastric remnant and duodenum are not available.

引用

页码：55 / 58

页数：4

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