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NCT03925766 Clinical Trial

Laparoscopy-Assisted Transgastric ERCP

Biliary Obstruction Clinical Trial

Official title:
Laparoscopy-Assisted Transgastric Endoscopic Retrograde Cholangiopancreatography for Choledocholithiasis After Roux-en-Y Gastric Bypass

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT03925766
Other study ID # LAERCP002
Secondary ID
Status Completed
Phase
First received
Last updated
Start date March 1, 2019
Est. completion date April 20, 2019

Study information
Verified date April 2019
Source Tecnologico de Monterrey
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

We describe a case of a 57-year-old patient with altered RYGB anatomy, who underwent a laparoscopic cholecystectomy with a intra-operative cholangiogram showing a stone on the common bile duct. A laparoscopic assisted trans-gastric ERCP was successfully performed. The presentation of the case is presented as well a review of the literature.

Description:

The exclusion of the stomach after Roux-en-Y-Gastric bypass (RYGB) makes access to the biliary tree very challenging for the surgeon or the endoscopist. There are different techniques described to overcome this downside, being laparoscopic assisted trans-gastric endoscopic retrograde cholangiopancreatography (ERCP) approach an outstanding method to access the remnant stomach for reaching the duodenal papilla, with a high rate of success reported. We describe a case of a 57-year-old patient with altered RYGB anatomy, who underwent a laparoscopic cholecystectomy with a intra-operative cholangiogram showing a stone on the common bile duct. A laparoscopic assisted trans-gastric ERCP was successfully performed, introducing the duodenoscope through a gastrostomy without the need of an intra-gastric trocar. The patient evolved favorably and was discharged on his second postoperative day without complications.

Recruitment information / eligibility
Status Completed
Enrollment 1
Est. completion date April 20, 2019
Est. primary completion date April 1, 2019
Accepts healthy volunteers No
Gender Male
Age group 18 Years to 99 Years
Eligibility Inclusion Criteria:

- Patient with altered Roux en Y Gastric Bypass anatomy

Exclusion Criteria:

- Patients without Roux en Y Gastric Bypass anatomy

Study Design

Related Conditions & MeSH terms

Locations
Country Name City State
Mexico Escuela Nacional de Medicina, Tecnologico de Monterrey Monterrey Nuevo Leon

Sponsors (1)
Lead Sponsor Collaborator
Tecnologico de Monterrey

Country where clinical trial is conducted

Mexico, 

Outcome
Type Measure Description Time frame Safety issue
Primary Proof the efficacy of laparoscopic assisted transgastric endoscopic retrograde cholangiopancreatography This technique is a feasible and achievable procedure with low rate of complications for treating patients with altered RYGB anatomy that present biliary tract disorders, allowing an endoscopic treatment and cholecystectomy to be performed in a single setting. April 2019
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