Laparoscopic assisted transgastric ERCP after Roux en-Y gastric bypass: UCLA technique


SAGES 2012 Bonus Video – Jessica Folek, MD, Camellia Racu, MD, Soo Yoon Park, Yasser Bhat, MD, Erik Dutson, MD, Amir Mehran, MD

case report–5 sec
port placement–1:06
procedural video–1:18

Keyword(s): biliary obstruction, bilirubin, CBD, choledocholithiasis, jaundice, lap assisted transgastric ERCP, LC, LFTs, morbid obesity, MRCP, RYGB, sphincterotomy

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Amir-Hossein Mehran
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SAGES Member Discussion

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    Richard Stahl on Mar 27, 2012
    Terrific video. I have used a similar technique, but I like some of the nuances of this one and will incorporate those into my lap assisted ERCP this afternoon. One item not mentioned in the video - I think it is advisable to put a bowel clamp just beyond the Ligament of Treitz to prevent gas distension of the bowel beyond the duodenum.

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