Published in:
01-05-2024 | Choledocholithiasis | Multimedia Article
Choledocoduodenal Biliary Bypass for Recurrent Choledocholithiasis in a Patient with Gastric Bypass: An Old Trick to Solve a Modern Problem
Authors:
Thiago Costa Ribeiro, Amir Zeide Charruf, Lucas Cata Preta Stolzemburg, Ricardo Jureidini, Guilherme Naccache Namur, José Jukemura, Francisco Tustumi
Published in:
Obesity Surgery
|
Issue 6/2024
Login to get access
Abstract
Bariatric patients are at risk for developing biliary stones. Choledocholithiasis poses a significant challenge in Roux-en-Y gastric bypass patients due to anatomical changes, complicating the treatment. We present a case of a 71-year-old female with recurrent choledocholithiasis post-bariatric surgery. After failed endoscopic attempts, a biliodigestive bypass with choledocoduodenal anastomosis was performed successfully using the Da Vinci robotic platform. This technique offers a single anastomosis, excluding the duodenum from transit, preventing food reflux. The patient had an uneventful recovery with no recurrence after 1 year. The choledocoduodenal anastomosis is a viable option for biliary diversion in patients with challenging endoscopic access post-gastric bypass, offering favorable outcomes.