Laparoscopic Cholecystectomy and Choledochoduodenostomy After Roux-En-Y Gastric Bypass

Christopher DuCoin, MD, Rena Moon, MD, Andre Teixeira, MD, Muhammad Jawad, MD, FACS

Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando, Florida, USA

History of Present Illness: 61 year old female who presented to outside hospital with 4 day history of right upper quadrant abdominal pain, right shoulder pain, nausea, vomiting, and low grade fevers. Her past surgical history was significant for gastric bypass surgery in November of 2008. A CT scan of her abdomen showed a dilated gallbladder with wall thickening and surrounding fluid, and an ultrasound showed the same with gallbladder stones and a CBD dilated to 1.1 CM. She was started on IV antibiotics and transferred for definitive care.

Procedure: Laparoscopic cholecystectomy, intraoperative cholangiogram, common bile duct exploration, and choledochoduodenostomy were performed.

Result: The patient was discharged home on post operative day #2 tolerating regular diet with a JP drain in place near the anastomosis. Final pathology showed acute and chronic cholecystitis with prominent transmural inflammation. The patient has had no biliary pain since that time.


Session: Video ChannelDay 2

Program Number: V072

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