Obesity Surgery

, Volume 19, Issue 2, pp 250–252 | Cite as

Laparoscopically Assisted ERCP in a Case of Acute Cholangitis in a Patient with Biliopancreatic Diversion with Distal Gastric Preservation

  • Juan J. SebastiánEmail author
  • J. Joaquín Resa
  • Elena Peña
  • J. Manuel Blas
  • Gloria Ceña
  • J. Antonio Fatás
Case Report


Roux-en-Y gastric bypass, biliopancreatic diversion (BPD; Scopinaro’s technique), and BPD with distal gastric preservation (BPDGP) are different surgical procedures, currently performed with laparoscopic assistance, successfully used as a treatment for morbid obesity. All of these modalities bear the burden of a difficult access when it comes to explore and work within the biliary tract. We present a case of acute cholangitis due to choledocholithiasis in a patient with BPDGP for morbid obesity successfully managed by laparoscopy-assisted endoscopic retrograde cholangiopancreatography through the gastric remnant.


Obesity Morbid Biliopancreatic diversion Laparoscopy Cholangiopancreatography Endoscopic Retrograde (ERCP) Choledocholithiasis 



laparoscopic Roux-en-Y gastric bypass


laparoscopic biliopancreatic diversion


laparoscopic biliopancreatic diversion with distal gastric preservation


endoscopic retrograde cholangiopancreatography


common bile duct


body mass index




computed tomography


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Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Juan J. Sebastián
    • 1
    Email author
  • J. Joaquín Resa
    • 2
  • Elena Peña
    • 1
  • J. Manuel Blas
    • 1
  • Gloria Ceña
    • 1
  • J. Antonio Fatás
    • 2
  1. 1.Servicio de Aparato DigestivoHospital General Royo VillanovaZaragozaSpain
  2. 2.Servicio de Cirugía General y del Aparato DigestivoHospital General Royo VillanovaZaragozaSpain

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