Management of Choledocholithiasis After a Gastric Bypass Surgery: A Case Report

Alteration of the anatomy following Roux-en-Y gastric bypass (RYGB) poses a significant challenge in choledocholithiasis management in patients who have undergone this operation. Many options exist, including endoscopic, surgical, percutaneous, or hybrid means with variable success rates. Treatment should progress from least to most invasive options. We present a case of choledocholithiasis two years following gastric bypass managed with percutaneous transhepatic stone advancement to the duodenum. The aim is to highlight different options for dealing with this pathology.