Preventing second laparoscopic procedure by use of a novel technique to allow removal of biliary stent in a patient with Roux-en-Y gastric bypass

摘要

A 58-year-old woman with a history of obesity and a previous Roux-en-Y gastric bypass underwent a recent laparoscopic cholecystectomy, complicated by a bile leak at theduct of Luschka, for which she underwent laparoscopicassisted ERCP with placement of a 10F 5-cm biliary stent(Boston Scientific, Marlborough, Mass). A 20F gastrostomytube (G tube) was placed into the excluded stomach toallow future access to the biliary stent. Four weeks later,the patient presented for an outpatient ERCP for biliarystent removal (Video 1, available online at www.VideoGIE.org).q.