Procedural Outcomes of Laparoscopic-Assisted Endoscopic Retrograde Cholangiopancreatography in Patients with Previous Roux-en-Y Gastric Bypass Surgery: a Systematic Review and Meta-analysis

2020 ◽  
Author(s):  
Shahab Hajibandeh ◽  
Shahin Hajibandeh ◽  
Munir Tarazi ◽  
Moustafa Mansour ◽  
Thomas Satyadas
Keyword(s):  
Systematic Review ◽  
Gastric Bypass ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Meta Analysis ◽  
Endoscopic Retrograde ◽  
Laparoscopic Assisted ◽  
Procedural Outcomes

scholarly journals Laparoscopic-Assisted Endoscopic Retrograde Cholangiopancreatography in Patients With Prior Gastric Bypass Surgery: A Case Series of Technical Challenges

2021 ◽  
Author(s):  
Abdulrahman Aloun ◽  
Fahad Al Abeidi ◽  
Ali Alzahrani ◽  
Abdul Monem Swied
Keyword(s):  
Gastric Bypass ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Case Series ◽  
Endoscopic Retrograde ◽  
Biliary Ducts ◽  
Technical Challenges ◽  
Laparoscopic Assisted ◽  
Biliary Interventions

ABSTRACT Accessing the biliary ducts for performing endoscopic retrograde cholangiopancreatography (ERCP) and relevant interventional procedures after gastric bypass surgery is technically difficult and frequently unsuccessful due to anatomical alterations. To overcome such technical challenges, laparoscopic-assisted ERCP (LA-ERCP) is used to approach the biliary ducts via nonperoral reliable access for performing different endoscopic biliary interventions. In this case series, we report a total of three patients with different anatomical alterations who underwent LA-ERCP.

Sa1343 Can Prophylactic PPI Help Reduce Marginal Ulcers After Gastric Bypass Surgery? A Systematic Review and Meta Analysis

2013 ◽  
Vol 144 (5) ◽  
pp. S-269 ◽  
Author(s):  
Valerie Wu Chao Ying ◽  
Song Hon Harry Kim ◽  
Khurram J. Khan ◽  
Forough Farrokhyar ◽  
Joanne D'Souza ◽  
...  
Keyword(s):  
Systematic Review ◽  
Gastric Bypass ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Meta Analysis

scholarly journals SP6.1.7 Meta-analysis of procedural outcomes of laparoscopic-assisted endoscopic retrograde cholangiopancreatography in patients with previous Roux-en-Y gastric bypass surgery

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Shahab Hajibandeh ◽  
Shahin Hajibandeh ◽  
Moustafa Mansour ◽  
Thomas Satyadas
Keyword(s):  
Gastric Bypass ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Case Series ◽  
Complication Rates ◽  
Success Rates ◽  
Technical Success ◽  
Endoscopic Retrograde ◽  
The Mean ◽  
Laparoscopic Assisted ◽  
Procedural Outcomes

Abstract Aims To investigate the procedural outcomes of laparoscopic-assisted endoscopic retrograde cholangiopancreatography (ERCP) in patients with previous Roux-en-Y gastric bypass (RYGB) surgery. Methods We performed a systematic review in accordance with PRISMA statement standards to identify all studies reporting procedural outcomes of laparoscopic-assisted ERCP in patients with previous RYGB. The ROBINS-I tool was used to assess the risk of bias of the included studies. Fixed-effect and random-effects models were applied to calculate pooled outcome data. Results A total of 17 case series, enrolling 256 patients, were included. The mean age of included patients was 49. The mean procedure time was 137 minutes (95% CI 102-172). In terms of procedural success rates, the overall technical success was 95.3% (95% CI 92.5-97.5,I2=0%), papillary access success was 95.3% (95% CI 92.5-97.5,I2=0%), cannulation success was 95.3% (95% CI 92.5-97.5,I2=0%), sphincterotomy success was 96.1% (95% CI 93.5-98.1,I2=0%), and stone removal success was 95.9% (95% CI 92.4-98.4, I2=0%). Conversion to open was required in 4.7% (95% CI 2.5-7.6,I2=0%). In terms of complications, pancreatitis occurred in 4.7% (95% CI 2.3-8,I2=17%), cholangitis in 1.7% (95% CI 0.5 to 3.6,I2=0%), and perforation in 3.7% (95% CI 1.8- 6.3,I2=0%). The length of hospital stay was 3 days (95% CI 2-4). Conclusions Laparoscopic-assisted ERCP seems to be feasible, effective, and a safe method to access the biliary tract in patients with previous RYGB as indicated by high technical success rates and low complication rates. There is a need for comparative evidence regarding outcomes of laparoscopic ERCP in comparison with alternative treatment options.

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