Endoscopic Treatment of Cholelithiasis, Choledocolitiasis After Bariatric Surgery


Presented by Jeffrey Hazey, MD at the SAGES 2014 Meeting; Panel – Endoscopic Management of Bariatric Complications

operative strategies–2:34
initial clinical presentation–2:51
percutaneous or endoscopic strategies–4:55
antegrade/percutaneous approach after placement of PTC–6:14
background with c

Keyword(s): 12 Fr sheath, 15 mm trocar, 30 Fr access, 30 Fr G-tube, 6 wk interval ERCP, access to the biliary system, ampulla, anatomic changes, anesthesiologist, antegrade approach, apoplectic behavior, asymptomatic CBDS, asymptomatically, avoid low entry, background, balloon, bariatric surgery, basket, biliary dilators, biliary surgery, biliary system, biliary tract calculi, biliary tree, bilirubin, Bougie, cannulate, catheter, Caucasian, challenges with PTC, cholangitis, choledocolithiasis, choledocoscope, cholelithiasis, clinically improved, CO2 intestinal insufflation, common bile duct kits, completion cholangiogram, continued rise in LFTs, dilated CBD, double balloon enteroscopy, double balloon technique, duct, duct exploration, effective techniques, efficacy, EHL ablation, elective removal, elevated alkaline phosphatase, elevated amylase, endoscopic access, endoscopic approach, endoscopic removal, endoscopic techniques, endoscopic tx, endoscopy suite, far eastern studies, female, fluoro, flush through, follow-up, fragment the stones, fundamentally, G-tube placement, gallbladder, gallstones, gastric remnant, gastroenterologists, Gastrointestinal Endoscopy, gastrotomy, gastrotomy creation, general anesthesia, glucagon, Gut, hemobilia, hepatic duct strictures, hepatolithiasis, high failure rate, high rates, high surgical risk, holmium YAG laser fragmentation, hx of, hybrid recommended, Hz frequency, immediate closure, indications, initial clinical presentation, interventional radiologist, interventional radiology suite, intra-op endoscopy, intra-op ERCP, intraperitoneal space, IOC, jejunojejunostomy, joules of energy, Journal of Gastrointestinal Surgery, kidney stones, lap access, lap assisted transgastric ERCP, lap CBDE, lap chole, laparoscope, large series, laser fragmentation, laser lithotripsy, laserlithotripsy, leaks, length of percutaneous access, lipase, liver, long process, LSCD, managed conservatively, micron fibers, mildly elevated amylase, morbid obesity, morphine, MRCP, multiple procedures, no filling defects, non-operative tx, normal LFTs, normal WBC count, occult common duct stones, open access, open CBDE, open chole, operative RYGB, operative strategies, ORYGB, outpatients, overnight stays, pancreatitis, pass spontaneously, percutaneous access, percutaneous choledocoscopic view, percutaneous laser ablation, percutaneous routes, percutaneous transhepatic access, PMH, population, post GB patients, pre-procedural CT imaging, prolonged biliary access, PSH, PTC, pylorus, rationale, recurrence, referring physicians, repeat endoscopy, repeated access, Roux-en-Y reconstruction, RUQ abdominal pain, S/P chole, S/P GB, scope, sheath, side viewing scope, significant risks, single laser tx, small series, solutions, stamm gastrostomy, stay sutures, stent, stiff catheter, stomach, stone, stone clearance, stone extraction, stones have passed, strictures, Surgical Endoscopy, symptomatic, TCCBDE, technical failure, therapeutic duodenoscope, tolerated well, tract, transcystically, transfer the patient, transgastric ERCP, transgastrically, trocar, unable to undergo surgery, ureteroscope, US, viable alternative, western studies

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