ArticleThe American journal of case reports2026
Laparoscopic Biliary Revision for Choledocholithiasis After Roux-en-Y-Gastric Bypass: A Case Report and Discussion of Management Strategies.
Article in The American journal of case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND Managing biliary and pancreatic duct diseases in post-bariatric surgery patients, particularly after Roux-en-Y gastric bypass (RYGB), can be difficult. Traditional methods like ERCP are often impractical due to altered anatomy. With the rising number of bariatric procedures worldwide, biliary complications in patients with altered gastrointestinal anatomy are becoming increasingly frequent. Standard ERCP often fails due to the long Roux limb and excluded stomach, prompting the adoption of alternative or hybrid techniques such as laparoscopic-assisted ERCP (LA-ERCP), double-balloon enteroscopy (DBE), or endoscopic ultrasound-directed transgastric ERCP (EDGE). This case report explores the effectiveness of laparoscopically assisted biliary revision in addressing choledocholithiasis in a patient after bariatric surgery. CASE REPORT A 31-year-old man with a history of RYGB surgery presented with cholecystitis and cholangitis. Diagnostic imaging revealed multiple gallstones and a biliary obstruction. The patient underwent laparoscopic cholecystectomy with biliary revision and intraoperative cholangiopancreatography. Intraoperatively, a wide cystic duct and small mobile stones were identified, allowing for successful balloon extraction. Postoperative recovery was uneventful. CONCLUSIONS This case highlights the feasibility of cystic duct revision in selected post-RYGB patients with favorable anatomy. It underscores the importance of intraoperative assessment, flexibility, and institutional expertise when managing choledocholithiasis in patients with altered anatomy. Assisted biliary revision over the cystic duct is a safe and efficient approach for managing choledocholithiasis in post-RYGB patients due to its high success rates and ability to combine biliary access with simultaneous surgical interventions. A stepwise approach should be considered. Continued refinement of intraoperative assessment and standardized protocols will enhance patient outcomes and reduce complications.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.