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Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy
Published on: June 17, 2018
Laparoscopic transgastric endoscopic retrograde cholangiopancreatography after biliopancreatic diversion
Francesc Xavier Molina Romero1, José Miguel Morón Canis1, Alfredo Llompart Rigo2
1Servicio de Cirugía General y del Aparato Digestivo, Unidad Hepatobiliopancreática, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España.
Abstract:
Endoscopic retrograde cholangiopancreatography may be difficult in patients that have undergone Roux-en-Y gastric bypass. Due to the fact that prevalence of morbid obesity is increasing, and laparoscopic procedures for its treatment have increased, the incidence of biliary tract problems in patients of altered anatomy is also growing. We describe a laparoscopic technique to access the biliary tree by endoscope, through the excluded stomach.

