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肥胖症手术患者的腹腔镜经胃内镜逆行胰胆管造影术:我们的经验

Laparoscopic transgastric ERCP in bariatric surgery patients: our experience.

作者信息

Espinel Jesús, Pinedo María Eugenia, Ojeda Vanesa, Guerra Del Río María

机构信息

Digestivo, Hospital Universitario de León, España.

Department of Radiodiagnosis, Hospital Universitario de León. León, Spain..

出版信息

Rev Esp Enferm Dig. 2017 Jul;109(7):530-533. doi: 10.17235/reed.2017.4933/2017.

Abstract

Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the surgical treatment of choice for morbid obesity. Several therapeutic options to remove common bile duct (CBD) stones have been proposed in these patients. Laparoscopy-assisted transgastric ERCP (LATERCP) has a high success rate. However, the procedure is not fully standardized and some technical variations have been proposed. We introduce two cases in which laparoscopic transgastric ERCP has been used to treat choledocholithiasis after LRYGB.

摘要

腹腔镜Roux-en-Y胃旁路术(LRYGB)是治疗病态肥胖的首选手术方式。对于这类患者,已经提出了几种去除胆总管(CBD)结石的治疗方案。腹腔镜辅助经胃内镜逆行胰胆管造影术(LATERCP)成功率较高。然而,该手术尚未完全标准化,并且有人提出了一些技术变体。我们介绍两例在LRYGB术后使用腹腔镜经胃内镜逆行胰胆管造影术治疗胆总管结石的病例。

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