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Endoscopic treatment of bile duct stones after bariatric Roux-en-Y gastric bypass through endoscopic ultrasound-directed transgastric ERCP

Francisco Vara-Luiz,Goncalo Nunes,Pedro Pinto-Marques,Carla Oliveira, Ivo Mendes,Marta Patita,Jorge Fonseca

Endoscopy（2023）

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Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is technically challenging after Roux-en-Y gastric bypass (RYGB) [1]. Standard approaches include enteroscopy-assisted and laparoscopy-assisted ERCP, which present difficult implementation in clinical practice [2]. The authors report endoscopic ultrasound-directed transgastric ERCP (EDGE) for the treatment of bile duct stones in RYGB patients ([Video 1]).
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Key words
gastric bypass,bile duct stones,endoscopic treatment,roux-en-y,ultrasound-directed
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