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able to consider a concomitant cholecystectomy at the time of bypass. A recent systematic review has described the safety of transgastric ERCP defining overall success rates of 98% and ERCP… Click to show full abstract
able to consider a concomitant cholecystectomy at the time of bypass. A recent systematic review has described the safety of transgastric ERCP defining overall success rates of 98% and ERCP related morbidity of 3.1%. In this cohort, choledocholithiasis was the indication in 49%, and 20% in total received a concomitant laparoscopic cholecystectomy. Trans-gastric ERCP performed via a laparoscopically created gastrotomy is a safe, effective and evidence-based option for management of choledocholithiasis in patients post RYGB but requires technical expertise and adequate resources.
Journal Title: ANZ Journal of Surgery
Year Published: 2019
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