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Modified laparoscopic Janeway gastrostomy: a novel adjunct for the management of choledocholithiasis in Roux-en-Y patients
A 76-year-old woman with surgical history of Roux-en-Y gastric bypass presented with recurrent choledocholithiasis. Double balloon enteroscopy was unsuccessful in cannulating the biliary tree, thus, requiring surgically assisted endoscopic retrograde cholangiopancreaticogram (ERCP) access. Due to he...
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Published in: | BMJ case reports 2018-09, Vol.2018, p.bcr-2018-227442 |
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description | A 76-year-old woman with surgical history of Roux-en-Y gastric bypass presented with recurrent choledocholithiasis. Double balloon enteroscopy was unsuccessful in cannulating the biliary tree, thus, requiring surgically assisted endoscopic retrograde cholangiopancreaticogram (ERCP) access. Due to her stable clinical status, the non-urgent indication and multiple anticipated ERCPs for definitive biliary clearance, a more durable port of access to the ampulla was desired. A modified laparoscopic Janeway gastrostomy of the gastric remnant was performed and served as access for multiple subsequent endoscopic procedures with successful clearance of the biliary tree. |
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Double balloon enteroscopy was unsuccessful in cannulating the biliary tree, thus, requiring surgically assisted endoscopic retrograde cholangiopancreaticogram (ERCP) access. Due to her stable clinical status, the non-urgent indication and multiple anticipated ERCPs for definitive biliary clearance, a more durable port of access to the ampulla was desired. A modified laparoscopic Janeway gastrostomy of the gastric remnant was performed and served as access for multiple subsequent endoscopic procedures with successful clearance of the biliary tree.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2018-227442</identifier><identifier>PMID: 30275030</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Abdomen ; Aged ; Bile ; Case reports ; Cholangiopancreatography, Endoscopic Retrograde - methods ; Cholangiopancreatography, Magnetic Resonance - methods ; Choledocholithiasis - diagnostic imaging ; Choledocholithiasis - surgery ; Disease control ; Double-Balloon Enteroscopy - methods ; Endoscopy ; Female ; Gastric Bypass - adverse effects ; Gastrointestinal surgery ; Gastrostomy - methods ; Gastrostomy - trends ; Humans ; Laparoscopy ; Laparoscopy - methods ; Laparoscopy - trends ; Metabolism ; Novel Treatment (New Drug/Intervention; Established Drug/Procedure in New Situation) ; Obesity ; Ostomy ; Pathology ; Patients ; Postoperative Complications - surgery ; Recurrence ; Treatment Outcome ; Weight control</subject><ispartof>BMJ case reports, 2018-09, Vol.2018, p.bcr-2018-227442</ispartof><rights>BMJ Publishing Group Limited 2018. 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Published by BMJ. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b3252-ebae33d7f57a86a5c6e4ae6864b6ff31157f427f21c76e9bc4e44b598ab545ce3</cites><orcidid>0000-0002-4853-9238</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169685/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169685/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30275030$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Robalino, Ryan</creatorcontrib><creatorcontrib>Liu, Shinban</creatorcontrib><creatorcontrib>Ferzli, George</creatorcontrib><title>Modified laparoscopic Janeway gastrostomy: a novel adjunct for the management of choledocholithiasis in Roux-en-Y patients</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>A 76-year-old woman with surgical history of Roux-en-Y gastric bypass presented with recurrent choledocholithiasis. 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A modified laparoscopic Janeway gastrostomy of the gastric remnant was performed and served as access for multiple subsequent endoscopic procedures with successful clearance of the biliary tree.</description><subject>Abdomen</subject><subject>Aged</subject><subject>Bile</subject><subject>Case reports</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - methods</subject><subject>Cholangiopancreatography, Magnetic Resonance - methods</subject><subject>Choledocholithiasis - diagnostic imaging</subject><subject>Choledocholithiasis - surgery</subject><subject>Disease control</subject><subject>Double-Balloon Enteroscopy - methods</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastric Bypass - adverse effects</subject><subject>Gastrointestinal surgery</subject><subject>Gastrostomy - methods</subject><subject>Gastrostomy - trends</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Laparoscopy - trends</subject><subject>Metabolism</subject><subject>Novel Treatment (New Drug/Intervention; Established Drug/Procedure in New Situation)</subject><subject>Obesity</subject><subject>Ostomy</subject><subject>Pathology</subject><subject>Patients</subject><subject>Postoperative Complications - surgery</subject><subject>Recurrence</subject><subject>Treatment Outcome</subject><subject>Weight control</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqFkc1rFTEUxQex2NJ27U4CbkQYO_me50KQ4lepCKKgq3Anc_NeHjPJdDJTff71ZnxtqW7M5obkl5Nz7ymKx7R6QSlXZ40dS1bRumRMC8EeFEdUS13qVfXt4b39YXGa0rbKi1NRC_6oOOQV07Li1VHx62NsvfPYkg4GGGOycfCWXEDAH7Aja0hTPpxiv3tJgIR4jR2BdjsHOxEXRzJtkPQQYI09holER-wmdtjGpfhp4yH5RHwgn-P8s8RQficDTD6z6aQ4cNAlPL2px8XXt2--nL8vLz-9-3D--rJsOJOsxAaQ81Y7qaFWIK1CAahqJRrlHKdUaieYdoxarXDVWIFCNHJVQyOFtMiPi1d73WFuemxt_nuEzgyj72HcmQje_H0T_Mas47VRVK1ULbPAsxuBMV7NmCbT-2Sx6_KQ4pwMWzwIrinP6NN_0G2cx5Db-0NRli0t1Nmesnm2aUR3Z4ZWZonW5GjNEq3ZR5tfPLnfwx1_G2QGnu-Bpt_-V-03ScmvHw</recordid><startdate>20180930</startdate><enddate>20180930</enddate><creator>Robalino, Ryan</creator><creator>Liu, Shinban</creator><creator>Ferzli, George</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4853-9238</orcidid></search><sort><creationdate>20180930</creationdate><title>Modified laparoscopic Janeway gastrostomy: a novel adjunct for the management of choledocholithiasis in Roux-en-Y patients</title><author>Robalino, Ryan ; 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Double balloon enteroscopy was unsuccessful in cannulating the biliary tree, thus, requiring surgically assisted endoscopic retrograde cholangiopancreaticogram (ERCP) access. Due to her stable clinical status, the non-urgent indication and multiple anticipated ERCPs for definitive biliary clearance, a more durable port of access to the ampulla was desired. A modified laparoscopic Janeway gastrostomy of the gastric remnant was performed and served as access for multiple subsequent endoscopic procedures with successful clearance of the biliary tree.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>30275030</pmid><doi>10.1136/bcr-2018-227442</doi><orcidid>https://orcid.org/0000-0002-4853-9238</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Abdomen Aged Bile Case reports Cholangiopancreatography, Endoscopic Retrograde - methods Cholangiopancreatography, Magnetic Resonance - methods Choledocholithiasis - diagnostic imaging Choledocholithiasis - surgery Disease control Double-Balloon Enteroscopy - methods Endoscopy Female Gastric Bypass - adverse effects Gastrointestinal surgery Gastrostomy - methods Gastrostomy - trends Humans Laparoscopy Laparoscopy - methods Laparoscopy - trends Metabolism Novel Treatment (New Drug/Intervention Established Drug/Procedure in New Situation) Obesity Ostomy Pathology Patients Postoperative Complications - surgery Recurrence Treatment Outcome Weight control |
title | Modified laparoscopic Janeway gastrostomy: a novel adjunct for the management of choledocholithiasis in Roux-en-Y patients |
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