Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass
dc.contributor.author | Abbas, Ali M. | |
dc.contributor.author | Strong, Andrew T. | |
dc.contributor.author | Diehl, David L. | |
dc.contributor.author | Brauer, Brian C. | |
dc.contributor.author | Lee, Iris H. | |
dc.contributor.author | Burbridge, Rebecca | |
dc.contributor.author | Zivny, Jaroslav | |
dc.contributor.author | Higa, Jennifer T. | |
dc.contributor.author | Falcão, Marcelo | |
dc.contributor.author | El Hajj, Ihab I. | |
dc.contributor.author | Tarnasky, Paul | |
dc.contributor.author | Enestvedt, Brintha K. | |
dc.contributor.author | Ende, Alexander R. | |
dc.contributor.author | Thaker, Adarsh M. | |
dc.contributor.author | Pawa, Rishi | |
dc.contributor.author | Jamidar, Priya | |
dc.contributor.author | Sampath, Kartik | |
dc.contributor.author | de Moura, Eduardo Guimarães Hourneaux | |
dc.contributor.author | Kwon, Richard S. | |
dc.contributor.author | Suarez, Alejandro L. | |
dc.contributor.author | Aburajab, Murad | |
dc.contributor.author | Wang, Andrew Y. | |
dc.contributor.author | Shakhatreh, Mohammad H. | |
dc.contributor.author | Kaul, Vivek | |
dc.contributor.author | Kang, Lorna | |
dc.contributor.author | Kowalski, Thomas E. | |
dc.contributor.author | Pannala, Rahul | |
dc.contributor.author | Tokar, Jeffrey | |
dc.contributor.author | Aadam, A. Aziz | |
dc.contributor.author | Tzimas, Demetrios | |
dc.contributor.author | Wagh, Mihir S. | |
dc.contributor.author | Draganov, Peter V. | |
dc.contributor.author | Ponsky, Jeffrey | |
dc.contributor.author | Greenwald, Bruce D. | |
dc.contributor.author | Uradomo, Lance T. | |
dc.contributor.author | McGhan, Alyson A. | |
dc.contributor.author | Hakimian, Shahrad | |
dc.contributor.author | Ross, Andrew | |
dc.contributor.author | Sherman, Stuart | |
dc.contributor.author | Bick, Benjamin L. | |
dc.contributor.author | Forsmark, Christopher E. | |
dc.contributor.author | Yang, Dennis | |
dc.contributor.author | Gupte, Anand | |
dc.contributor.author | Chauhan, Shailendra | |
dc.contributor.author | Hughes, Steven J. | |
dc.contributor.author | Saks, Karen | |
dc.contributor.author | Bakis, Gennadiy | |
dc.contributor.author | Templeton, Adam W. | |
dc.contributor.author | Saunders, Michael | |
dc.contributor.author | Sedarat, Alireza | |
dc.contributor.author | Evans, John A. | |
dc.contributor.author | Muniraj, Thiruvengadam | |
dc.contributor.author | Gardner, Timothy B. | |
dc.contributor.author | Ramos, Almino C. | |
dc.contributor.author | Santo, Marco Aurelio | |
dc.contributor.author | Nett, Andrew | |
dc.contributor.author | Coté, Gregory A. | |
dc.contributor.author | Elmunzer, Joseph | |
dc.contributor.author | Dua, Kulwinder S. | |
dc.contributor.author | Nosler, Michael J. | |
dc.contributor.author | Strand, Daniel S. | |
dc.contributor.author | Yeaton, Paul | |
dc.contributor.author | Kothari, Shivangi | |
dc.contributor.author | Ullah, Asad | |
dc.contributor.author | Taunk, Pushpak | |
dc.contributor.author | Brady, Patrick | |
dc.contributor.author | Pinkas, Haim | |
dc.contributor.author | Faulx, Ashley L. | |
dc.contributor.author | Shahid, Haroon | |
dc.contributor.author | Holmes, Jordan | |
dc.contributor.author | Pannu, Davinderbir | |
dc.contributor.author | Komanduri, Srinadh | |
dc.contributor.author | Bucobo, Juan Carlos | |
dc.contributor.author | Dhaliwal, Harry | |
dc.contributor.author | Rostom, Alaa | |
dc.contributor.author | Acker, Brent W. | |
dc.contributor.department | Medicine, School of Medicine | en_US |
dc.date.accessioned | 2017-12-22T14:12:37Z | |
dc.date.available | 2017-12-22T14:12:37Z | |
dc.date.issued | 2017 | |
dc.description.abstract | Background and Aims The obesity epidemic has led to increased use of Roux-en-Y gastric bypass (RYGB). These patients have an increased incidence of pancreaticobiliary diseases yet standard ERCP is not possible due to surgically altered gastroduodenal anatomy. Laparoscopic-ERCP (LA-ERCP) has been proposed as an option but supporting data are derived from single center small case-series. Therefore, we conducted a large multicenter study to evaluate the feasibility, safety, and outcomes of LA-ERCP. Methods This is retrospective cohort study of adult patients with RYGB who underwent LA-ERCP in 34 centers. Data on demographics, indications, procedure success, and adverse events were collected. Procedure success was defined when all of the following were achieved: reaching the papilla, cannulating the desired duct and providing endoscopic therapy as clinically indicated. Results A total of 579 patients (median age 51, 84% women) were included. Indication for LA-ERCP was biliary in 89%, pancreatic in 8%, and both in 3%. Procedure success was achieved in 98%. Median total procedure time was 152 minutes (IQR 109-210) with median ERCP time 40 minutes (IQR 28-56). Median hospital stay was 2 days (IQR 1-3). Adverse events were 18% (laparoscopy-related 10%, ERCP-related 7%, both 1%) with the clear majority (92%) classified as mild/moderate whereas 8% were severe and 1 death occurred. Conclusion Our large multicenter study indicates that LA-ERCP in patients with RYGB is feasible with a high procedure success rate comparable with that of standard ERCP in patients with normal anatomy. ERCP-related adverse events rate is comparable with conventional ERCP, but the overall adverse event rate was higher due to the added laparoscopy-related events. | en_US |
dc.eprint.version | Author's manuscript | en_US |
dc.identifier.citation | Abbas, A. M., Strong, A. T., Diehl, D. L., Brauer, B. C., Lee, I. H., Burbridge, R., … Acker, B. W. (2017). Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass. Gastrointestinal Endoscopy. https://doi.org/10.1016/j.gie.2017.10.044 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/14898 | |
dc.language.iso | en | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.isversionof | 10.1016/j.gie.2017.10.044 | en_US |
dc.relation.journal | Gastrointestinal Endoscopy | en_US |
dc.rights | Publisher Policy | en_US |
dc.source | Author | en_US |
dc.subject | laparoscopy-assisted | en_US |
dc.subject | endoscopic retrograde cholangiopancreatography | en_US |
dc.subject | Roux-en-Y gastric bypass | en_US |
dc.title | Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass | en_US |
dc.type | Article | en_US |