Review of the Endoscopic, Surgical and Radiological Techniques of Treating Choledocholithiasis in Bariatric Roux-en-Y Gastric Bypass Patients and Proposed Management Algorithm

Cheng, Qiuye; Hort, Amy; Yoon, Peter; Loi, Ken

doi:10.1007/s11695-021-05627-z

OBES SURG

2021

DOI: 10.1007/s11695-021-05627-z

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Review of the Endoscopic, Surgical and Radiological Techniques of Treating Choledocholithiasis in Bariatric Roux-en-Y Gastric Bypass Patients and Proposed Management Algorithm

Qiuye Cheng

¹

,

Amy Hort

²

,

Peter Yoon

³

et al.

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Cited by 15 publications

(17 citation statements)

References 80 publications

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15

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“…Our single-center favorable experience with TG-ERCP is consistent with the current literature around non-OLTx patients, which notes high success rates of 90%-100% for management of biliary postoperative pathology [9,13]. Unfortunately, in the setting of OLTx and RYGB, there is limited literature evaluating biliary interrogation techniques with this method.…”

Section: Discussionsupporting

confidence: 83%

Transgastric ERCP is a Useful Modality for Addressing Biliary Complications in Patients After Orthotopic Liver Transplantation and History of Roux‐en‐Y Gastric Bypass: Case Report and Proposed Treatment Algorithm

Haynes,

Archie,

Baimas‐George

et al. 2025

Clinical Case Reports

0

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Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.

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“…Our single-center favorable experience with TG-ERCP is consistent with the current literature around non-OLTx patients, which notes high success rates of 90%-100% for management of biliary postoperative pathology [9,13]. Unfortunately, in the setting of OLTx and RYGB, there is limited literature evaluating biliary interrogation techniques with this method.…”

Section: Discussionsupporting

confidence: 83%

Transgastric ERCP is a Useful Modality for Addressing Biliary Complications in Patients After Orthotopic Liver Transplantation and History of Roux‐en‐Y Gastric Bypass: Case Report and Proposed Treatment Algorithm

Haynes,

Archie,

Baimas‐George

et al. 2025

Clinical Case Reports

0

Get access via publisher Add to dashboard Cite

Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.

show abstract

“… 1 , 2 Accessing the biliary system with traditional endoscopic methods like balloon enteroscopy carries a reported technical success rate of 60% to 70%. 2 , 3 Our patient had a unique scenario of concomitant choledocholithiasis and large (>3 cm) cholelithiasis posing a risk for gallbladder cancer, Mirizzi syndrome, and recurrent choledocholithiasis. 4 , 5 He was at high surgical risk, and the percutaneous route would have required a hybrid approach for large gallstone removal and probably an additional percutaneous transhepatic approach for management of choledocholithiasis.…”

Section: Discussionmentioning

confidence: 93%

Transjejunal ERCP, EUS-guided gallbladder drainage, and cholecystoscopy with direct electrohydraulic lithotripsy with large gallstone removal in Roux-en-Y anatomy

Chatterjee

¹

,

Nasser

²

,

Chahal

³

2023

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Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.

“…Laparoscopic-assisted ERCP (LAERCP) involves laparoscopic access to the excluded stomach, allowing for a standard ERCP to be performed. This method has high stone clearance rates, ranging from 90 % to 100 %, and is associated with fewer complications than other techniques [ 6 , 7 ]. Balloon-assisted enteroscopy (BAE), using either single- or double-balloon systems, is another option; however, it is technically challenging and has lower success rates - approximately 50 % to 70 % with single-balloon and 63 % to 83 % with double-balloon enteroscopy [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…This method has high stone clearance rates, ranging from 90 % to 100 %, and is associated with fewer complications than other techniques [ 6 , 7 ]. Balloon-assisted enteroscopy (BAE), using either single- or double-balloon systems, is another option; however, it is technically challenging and has lower success rates - approximately 50 % to 70 % with single-balloon and 63 % to 83 % with double-balloon enteroscopy [ 6 , 7 ]. The ultrasound-directed transgastric ERCP (EDGE) technique involves creating a temporary gastrostomy for endoscopic access.…”

Section: Discussionmentioning

confidence: 99%

“…The ultrasound-directed transgastric ERCP (EDGE) technique involves creating a temporary gastrostomy for endoscopic access. While EDGE boasts a high success rate of up to 97 %, it carries a higher complication risk than LAERCP [ 7 , 8 ]. Percutaneous transhepatic biliary drainage (PTHBD) is an effective but more invasive method for bile duct decompression and stone extraction, particularly in patients where endoscopic options are not feasible [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic common bile duct exploration for retained biliary stent removal after one anastomosis gastric bypass: A case report

Levy

¹

,

Keidar

²

,

Eldar

³

et al. 2025

International Journal of Surgery Case Reports

0

Get access via publisher Add to dashboard Cite

Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.

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