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Related Experiment Video

Updated: Feb 23, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

Management of choledocholithiasis after previous gastrectomy.

S Anwer¹, R Egan², N Cross¹

¹Aneurin Bevan University Health Board , UK.

Annals of the Royal College of Surgeons of England

|August 31, 2017

Summary

Management of common bile duct stones after gastrectomy is challenging due to altered anatomy. Non-traditional endoscopic techniques successfully treated two patients when conventional methods failed.

Keywords:

Biliary tract disease Choledocholithiasis Common bile duct calculi Endoscopic retrograde cholangiopancreatography

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Last Updated: Feb 23, 2026

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Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Published on: February 10, 2023

Area of Science:

Gastroenterology
Endoscopic Surgery

Background:

Altered gastrointestinal anatomy following gastrectomy presents unique challenges for diagnosing and treating common bile duct stones.
Conventional endoscopic retrograde cholangiopancreatography (ERCP) may be technically infeasible in post-gastrectomy patients.

Observation:

Two patients with a history of gastrectomy presented with common bile duct stones.
Standard ERCP procedures were not feasible due to the patients' surgical history and resulting anatomical changes.

Findings:

Successful management of common bile duct stones was achieved using non-traditional endoscopic techniques.
These alternative approaches provided a viable solution for stone extraction in complex post-gastrectomy anatomy.

Implications:

Highlights the need for adaptable endoscopic strategies in managing biliary conditions in patients with prior gastric surgery.
Suggests that non-traditional endoscopic methods can be effective alternatives when standard ERCP is contraindicated or impossible.
Advances the understanding of managing hepatobiliary diseases in surgically altered upper gastrointestinal tracts.