ReviewDiagnostics (Basel, Switzerland)2026
Common Bile Duct Access After Bariatric Surgery: A Narrative Review of Endoscopic Considerations for Treatment of Choledocholithiasis.
Review in Diagnostics (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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.
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Authors and funding
4 authors.
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Abstract
Choledocholithiasis after bariatric surgery presents a unique set of challenges for surgeons and gastroenterologists. This narrative review discusses the most common procedural interventions for choledocholithiasis in patients after commonly performed bariatric procedures, including laparoscopic transgastric ERCP, rendezvous ERCP, laparoscopic common bile duct exploration, cholangioscopy, and the EDGE procedure. All interventions maintain a technical and clinical success rate greater than 80%, but adverse outcome rates can vary from 8 to 22% and length of stay ranges from 1 to 17 days post procedure. Operative times range from 100 to 350 min. There are additional considerations, including procedure complexity, resource utilization, and limited availability depending on hospital system. Given the limited published literature available, there remains no commonly accepted algorithm for guiding which procedure to pursue. This review discusses considerations and reviews the current literature to offer suggestions for guidance for procedure choice in treating post-bariatric surgery patients with choledocholithiasis.
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