{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T12:46:51Z","timestamp":1778762811826,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Obesity"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Laparoscopic-assisted transgastric endoscopic retrograde cholangiopancreatography (LAERCP) is used for treatment in patients after Roux-en-Y gastric bypass (RYGB), where transoral access to the biliary tree is not possible. We describe our technique and experience with this procedure.<jats:italic>Methods<\/jats:italic>. Electronic medical record search was performed from September 2012 to January 2016, identifying patients who underwent LAERCP per operative records. Charts were reviewed for demographic, clinical, and outcomes data.<jats:italic>Results<\/jats:italic>. Sixteen patients were identified. Average time since bypass was 6.9 years, and length of stay was 3.7 days. Five patients underwent simultaneous cholecystectomy. Eleven patients, or 43%, had cholecystectomy more than 2 years previously. ERCP with sphincterotomy was completed in 15 of 16 patients (94%). Our technique involves access to the bypassed stomach via a laparoscopically placed 15\u2009mm port. We observed one major complication of post-ERCP necrotizing pancreatitis. No minor complications nor mortalities were seen in our series.<jats:italic>Conclusion<\/jats:italic>. Biliary obstruction can occur many years after RYGB and cholecystectomy. Our findings suggest that RYGB patients may be at a higher risk of primary CBD stone formation. LAERCP is a reliable option for common bile duct (CBD) clearance; our technique of LAERCP is technically simple and associated with low complication rate, making it appealing to surgeons not trained in advanced laparoscopy.<\/jats:p>","DOI":"10.1155\/2018\/8275965","type":"journal-article","created":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T23:32:18Z","timestamp":1521675138000},"page":"1-4","source":"Crossref","is-referenced-by-count":21,"title":["Laparoscopic-Assisted Transgastric ERCP: A Single-Institution Experience"],"prefix":"10.1155","volume":"2018","author":[{"given":"Katherine","family":"Habenicht Yancey","sequence":"first","affiliation":[{"name":"Department of General Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2184-4520","authenticated-orcid":true,"given":"Lauren Katherine","family":"McCormack","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen Samuel","family":"McNatt","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myron Sheavictor","family":"Powell","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adolfo Zachariah","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl Joseph","family":"Westcott","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9610(99)80115-9"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1381\/096089206777346781"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/s0016-5107(75)73717-3"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-001-4180-3"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0267-6"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2006.08.018"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/s0016-5107(92)70586-0"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1005649"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/s0016-5107(98)70052-5"},{"issue":"10","key":"10","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1177\/000313481207801037","volume":"78","year":"2012","journal-title":"The American Surgeon"},{"issue":"5","key":"11","doi-asserted-by":"crossref","first-page":"E458","DOI":"10.1055\/s-0034-1392108","volume":"3","year":"2015","journal-title":"Endoscopy International Open"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-4746-8"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2014.03.003"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-011-0197-8"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1344029"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.11.019"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i21.6460"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2015.07.003"}],"container-title":["Journal of Obesity"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/jobe\/2018\/8275965.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jobe\/2018\/8275965.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jobe\/2018\/8275965.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T22:36:55Z","timestamp":1604011015000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/jobe\/2018\/8275965\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":18,"alternative-id":["8275965","8275965"],"URL":"https:\/\/doi.org\/10.1155\/2018\/8275965","relation":{},"ISSN":["2090-0708","2090-0716"],"issn-type":[{"value":"2090-0708","type":"print"},{"value":"2090-0716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}