Laparoscopic choledochoduodenal anastomosis after bile duct injury in a patient with previous laparoscopic gastric bypass

Authors

  • Adolfo Cuendis-Velázquez Department of General and Endoscopic Surgery, General Hospital Dr. Manuel Gea González, Tlalpan, Mexico City, Mexico
  • Francisco Pérez-López Department of General and Endoscopic Surgery, General Hospital Dr. Manuel Gea González, Tlalpan, Mexico City, Mexico
  • Erika Barlandas-Quintana Department of General and Endoscopic Surgery, General Hospital Dr. Manuel Gea González, Tlalpan, Mexico City, Mexico http://orcid.org/0000-0002-4268-4207
  • Orlando Bada-Yllán Department of General and Endoscopic Surgery, General Hospital Dr. Manuel Gea González, Tlalpan, Mexico City, Mexico
  • Braulio Ríos-Muñoz Department of General and Endoscopic Surgery, General Hospital Dr. Manuel Gea González, Tlalpan, Mexico City, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20214015

Keywords:

Bile duct injury, Choledochoduodenal anastomosis, Gastric bypass, Cholecystectomy, Bile duct repair

Abstract

Bile duct injuries after laparoscopic cholecystectomy remain a major problem in gastrointestinal surgery. Twenty five to thirty percent of bariatric patients could develop gallstone disease. However, laparoscopic cholecystectomy in this group may result challenging due to the presence of a previous Roux-en-Y reconstruction. We documented the successful case of 66 year old female with story of non-supplemented laparoscopic gastric bypass, with subsequent injury of bile duct during laparoscopic cholecystectomy treated with a laparoscopic choledochoduodenal anastomosis. This technique offers an excellent alternative to solve highly complex cases in a single surgical time, allowing the patient to restore his original functionality prior to the biliary duct lesion.

Author Biography

Erika Barlandas-Quintana, Department of General and Endoscopic Surgery, General Hospital Dr. Manuel Gea González, Tlalpan, Mexico City, Mexico

General Surgery Resident

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Published

2021-09-28

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Section

Case Reports