Resumen

APARCERO, Miguel et al. Colangiopancreatography Assisted by Laparoscopy in Gastric Bypass and Fistulotomy Pre-Cut by Calculation Impacted in Papila. Gen [online]. 2017, vol.71, n.1, pp.13-16. ISSN 2477-975X.

The “Gastric Bypass” is one of the most performed bariatric operatio ns worldwide, and in recent years the number of former bypass patients accrues. The gastric bypass excludes the stomach and duodenum, and it makes very difficult, by oral route, the access to the biliopancreatic tract, by means the endoscopic retrograde cholangiopancreatography (ERCP). Due to the increased evidence of gallstones after bariatric operations, the ERCP could be more often required. In recent years, it has been demostrated that gastric bypass patients can be successfully evaluated endoscopically by laparoscopic transgastric ERCP, as a safe and reliable method. We describe a patient with residual billiary impacted stone in the papilla, who underwent laparoscopic transgastric ERCP and a precut “fistulotomy” technique with needle - knife, was highly successful, without add significant morbidity to the procedure.

Palabras clave : Bariatric surgery; Gastric bypass; Transgastric Endoscopic retrograde cholangiopancreatography laparoscopic assisted; Impactedlithiasis in the papilla; Pre-cut: fistulotomy type.

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