Year 2020 / Volume 112 / Number 3
Original
Endoscopic ultrasound-directed transgastric ERCP in patients with Roux-en-Y gastric bypass using lumen-apposing metal stents or duodenal self-expandable metal stents. A European single-center experience

211-215

DOI: 10.17235/reed.2020.6897/2020

Marina de Benito Sanz, Ana Yaiza Carbajo, Ramón Sánchez-Ocaña Hernández, Carlos Chavarria, Sergio Bagaza Pérez de Rozas, Francisco Javier García-Alonso, Carlos de la Serna Higuera, Manuel Perez-Miranda,

Abstract
Introduction: endoscopic ultrasound-directed transgastric ERCP is emerging in Roux-en-Y gastric bypass. Methods: a review of 14 consecutive patients. Results: fourteen EUS-directed gastro-gastrostomy/gastro-jejunostomy were performed using lumen-apposing metal stents or duodenal self-expandable metal stents. Single-session ERCP was successful in 9/12 cases and deferred procedures or follow-up in 6/7 cases. Papillary access was obtained in all cases. Dislodgment occurred in 4/19 patients and was handled successfully endoscopically. Transgastric stents were removed after a median of 30 days. No recurrence/fistula were noted after a median of 256 days post-removal. Conclusions: duodenal self-expandable and lumen-apposing metal stents can be used for single-deferred endoscopic ultrasound-directed transgastric ERCP in Roux-en-Y gastric bypass.
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References
1. Tran DD, Nwokeabia ID, Purnell S, et al. Revision of Roux-en-Y gastric bypass for weight regain: a systematic review of techniques and outcomes. Obes Surg 2016;26(7):1627-34. DOI: 10.1007/s11695-016-2201-5
2. Shiffman ML, Sugerman HJ, Kellum JM, et al. Gallstone formation after rapid weight loss: a prospective study in patients undergoing gastric bypass surgery for treatment of morbid obesity. Am J Gastroenterol 1991;86(8):1000-5.
3. Nagem RG, Lázaro-da-Silva A, De Oliveira RM, et al. Gallstone-related complications after Roux-en-Y gastric bypass: a prospective study. Hepatobiliary Pancreat Dis Int 2012;11(6):630-5. DOI: 10.1016/S1499-3872(12)60236-7
4. Banerjee N, Parepally M, Byrne TK, et al. Systematic review of transgastric ERCP in Roux-en-Y gastric bypass patients. Surg Obes Relat Dis 2017;13(7):1236-42. DOI: 10.1016/j.soard.2017.02.005
5. Skinner M, Popa D, Neumann H, et al. ERCP with the overtube-assisted enteroscopy technique: a systematic review. Endoscopy 2014;46(7):560-72. DOI: 10.1055/s-0034-1365698
6. Inamdar S, Slattery E, Sejpal DV, et al. Systematic review and meta-analysis of single-balloon enteroscopy-assisted ERCP in patients with surgically altered GI anatomy. Gastrointest Endosc 2015;82(1):9-19. DOI: 10.1016/j.gie.2015.02.013
7. Saleem A, Levy MJ, Petersen BT, et al. Laparoscopic assisted ERCP in Roux-en-Y gastric bypass (RYGB) surgery patients. J Gastrointest Surg 2012;16(1):203-8. DOI: 10.1007/s11605-011-1760-y
8. Schreiner MA, Chang L, Gluck M, et al. Laparoscopy-assisted versus balloon enteroscopy-assisted ERCP in bariatric post-Roux-en-Y gastric bypass patients. Gastrointest Endosc 2012;75(4):748-56. DOI: 10.1016/j.gie.2011.11.019
9. Shah RJ, Smolkin M, Yen R, et al. A multicenter, U.S. experience of single-balloon, double-balloon, and rotational overtube-assisted enteroscopy ERCP in patients with surgically altered pancreaticobiliary anatomy (with video). Gastrointest Endosc 2013;77(4):593-600. DOI: 10.1016/j.gie.2012.10.015
10. Law R, Wong Kee Song LM, Petersen BT, et al. Single-session ERCP in patients with previous Roux-en-Y gastric bypass using percutaneous-assisted transprosthetic endoscopic therapy: a case series. Endoscopy 2013;45(8):671-5. DOI: 10.1055/s-0033-1344029
11. Attam R, Leslie D, Freeman M, et al. EUS-assisted, fluoroscopically guided gastrostomy tube placement in patients with Roux-en-Y gastric bypass: a novel technique for access to the gastric remnant. Gastrointest Endosc 2011;74(3):677-82. DOI: 10.1016/j.gie.2011.05.018
12. Kedia P, Sharaiha RZ, Kumta NA, et al. Internal EUS-directed transgastric ERCP (EDGE): game over. Gastroenterology 2014;147(3):566-8. DOI: 10.1053/j.gastro.2014.05.045
13. Cotton PB, Eisen GM, Aabakken L, et al. A lexicon for endoscopic adverse events: report of an ASGE workshop. Gastrointest Endosc 2010;71(3):446-54. DOI: 10.1016/j.gie.2009.10.027
14. Tyberg A, Nieto J, Salgado S, et al. Endoscopic ultrasound (EUS)-directed transgastric endoscopic retrograde cholangiopancreatography or EUS: mid-term analysis of an emerging procedure. Clin Endosc 2017;50(2):185-90. DOI: 10.5946/ce.2016.030
15. Krafft MR, Hsueh W, James TW, et al. The EDGI new take on EDGE: EUS-directed transgastric intervention (EDGI), other than ERCP, for Roux-en-Y gastric bypass anatomy: a multicenter study. Endosc Int Open 2019. DOI: 10.1055/a-0915-2192
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de Benito Sanz M, Carbajo A, Sánchez-Ocaña Hernández R, Chavarria C, Bagaza Pérez de Rozas S, García-Alonso F, et all. Endoscopic ultrasound-directed transgastric ERCP in patients with Roux-en-Y gastric bypass using lumen-apposing metal stents or duodenal self-expandable metal stents. A European single-center experience. 6897/2020


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Publication history

Received: 22/01/2020

Accepted: 22/01/2020

Online First: 05/02/2020

Published: 05/03/2020

Article Online First time: 14 days

Article editing time: 43 days


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