Tag: Roux-en-Y

Pleural connection treated with stent plus endobronchial valve

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Post written by Mayank Goyal, MD, from the the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, and the University of Missouri-Kansas City, Kansas City, Missouri, and Navtej Buttar, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. We report the case of a 34-year-old man with a complex surgical history who developed a refractory esophagopleural fistula (EPF) …

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Endoscopic balloon dissection to remove a percutaneously placed biliary stent with tissue ingrowth: a novel approach

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Post written by Abdulrahman Qatomah, MBBS, FRCPC, from Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA, and King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. A 65-year-old woman with a history of Roux-en-Y gastric bypass presented with cholangitis secondary to a benign biliary stricture. She previously underwent placement of a percutaneously …

Continue reading Endoscopic balloon dissection to remove a percutaneously placed biliary stent with tissue ingrowth: a novel approach

Successful pancreatic duct cannulation using a double-lumen catheter and an antegrade percutaneous transhepatic wire with Roux-en-Y anatomy

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Post written by Yuka Kawazoe, MD, from the Department of Gastroenterology, Kameda Medical Center, Kamogawa, Japan. This video presents a case that demonstrates the use of an uneven double-lumen cannula combined with a percutaneous rendezvous technique to achieve pancreatic duct access in a patient with complex postoperative anatomy. We chose to showcase this video because it illustrates …

Continue reading Successful pancreatic duct cannulation using a double-lumen catheter and an antegrade percutaneous transhepatic wire with Roux-en-Y anatomy

Creation of new anastomosis for management of obstructive symptoms related to gastrojejunal anastomosis in patients who undergo gastric bypass: a case series

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Post written by Shailendra Singh, MD, and Rohit Agrawal, MD, from West Virginia University, Morgantown, West Virginia, USA. We present a case series of 6 patients with Roux-en-Y gastric bypass who were referred for management of obstructive symptoms related to gastrojejunal (GJ) anastomosis. Our patients had failed pneumatic dilations and/or endoscopic stent therapy for severe refractory GJ stenosis with …

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Biliary cast syndrome in Roux-en-Y hepaticojejunostomy anatomy

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Post written by Erica Park, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. We describe a case of a patient who underwent an orthotopic liver transplantation from a donation after circulatory death. Dehiscence of the biliary anastomosis complicated her post-transplant course, requiring return to …

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Retrograde endosonography for diagnosing imaging-occult cancer at the head of the pancreas in a patient with distal gastrectomy and Roux-en-Y reconstruction

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Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 73-year-old man with a history of distal gastrectomy presented with jaundice and 20-pound weight loss. Abdominal CT with intravenous contrast showed cholelithiasis and a dilated biliary tree without evidence of choledocholithiasis or neoplasm. MRCP was not possible because of shrapnel. He …

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A novel balloon dilation catheter facilitating endoscopic papillary balloon dilation in patients with Roux-en-Y gastrectomy

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Post written by Yuki Tanisaka, MD, PhD, from Saitama Medical University International Medical Center, Saitama, Japan. Endoscopic stone extraction in patients with surgically altered anatomy (SAA) using balloon enteroscopy is considered difficult. Although endoscopic papillary balloon dilation (EPBD) is one of the necessary procedures to extract the stone, EPBD in patients with SAA is challenging because …

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Endoscopic blind limb reduction with septotomy: a novel endoscopic approach to candy cane syndrome after Roux-en-Y gastric bypass

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Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe a new endoscopic procedure to treat candy cane syndrome in Roux-en-Y gastric bypass patients. The syndrome refers to patients who have undergone Roux-en-Y gastric bypass and developed significant and sometimes debilitating postprandial abdominal discomfort that is often relieved …

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A challenging case of pancreaticogastric anastomotic stricture in a patient with surgically altered anatomy

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Post written by Yervant Ichkhanian, MD, from Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, and Internal Medicine, Henry Ford Hospital, Detroit, Michigan, USA. This was a case of a 64-year-old woman with a history of Roux-en-Y gastric bypass and a subsequent Whipple reconstruction with pancreatico-gastrostomy (PG) who presented to our center with a …

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Cholangioscopy-guided salvage retrieval of a migrated stent at a hepaticojejunostomy anastomosis using a colonoscope

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Post written by Samuel Han, MD, MS, from The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. In this video, we describe the use of cholangioscopy through a colonoscope to successfully retrieve a stent that had migrated into the duct during ERCP in a patient with surgically altered anatomy (Roux-en-Y hepaticojejunostomy). After attempting conventional methods …

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